Individual
DIANE LUCY ELVAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS HUMAN DEVELOPMENT
Contact information
Practice address
1407 SAINT ANDREW ST STE 100, LA CROSSE, WI 54603-2378
(608) 989-2721
Mailing address
W16408 NILES RD, TAYLOR, WI 54659-8506
(608) 989-9908
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1504-127
WI
Other
Enumeration date
01/19/2009
Last updated
01/19/2009
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