Individual
OLIVIA DIEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W129N7055 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0538
(262) 253-5400
Mailing address
S73W26385 MT RAINIER DR, WAUKESHA, WI 53189-9698
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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