Individual
DIANA K JOHNSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4200 N HOLTON ST, MILWAUKEE, WI 53212-1064
(414) 988-6980
Mailing address
4200 N HOLTON ST, MILWAUKEE, WI 53212-1064
(414) 988-6980
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7326123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43730000
—
WI
Enumeration date
04/17/2008
Last updated
03/26/2013
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