Individual
MS. DIANE V SANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1407 ST. ANDREW ST., SUITE 100, LA CROSSE, WI 54603-2378
(608) 785-5837
Mailing address
931 OAK AVE. N., ONALASKA, WI 54650
(608) 779-5239
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
7876-120
WI
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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