Individual
DIANE ROANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ICSW
Contact information
Practice address
6001 RESEARCH PARK BLVD, MADISON, WI 53719-1176
(608) 263-8100
(608) 263-9340
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
239
WI
Other
Enumeration date
02/27/2006
Last updated
04/29/2009
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