Individual
LORI A DIELENTHEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
615 SOUTH 8TH ST, STE G20, SHEBOYGAN, WI 53081
(920) 457-8866
(920) 457-8867
Mailing address
805 N 6TH ST, SHEBOYGAN, WI 53081-4113
(920) 457-8866
(920) 457-8867
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2798123
WI
Other
Enumeration date
05/22/2007
Last updated
01/19/2018
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