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Individual

DIANE MARIE HODEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
620 S 76TH ST STE 240, MILWAUKEE, WI 53214-1599
(414) 522-5733
Mailing address
3210 N 95TH ST, MILWAUKEE, WI 53222-3525
(414) 522-5733

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2362-125
WI

Other

Enumeration date
09/24/2021
Last updated
09/24/2021
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