Individual
DIANE KAY RUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 S MOORLAND RD STE 403, BROOKFIELD, WI 53005-6945
(262) 786-0411
(262) 786-9954
Mailing address
N82W14375 OXFORD CT, MENOMONEE FALLS, WI 53051-3954
(262) 251-2118
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1893-123
WI
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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