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1174247910
DIANE WEBB
WAUKESHA, WI
NPI
1174247910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16491)
Enumeration Date
2022-09-26
Last Update Date
2022-09-26
Business Address
DIANE WEBB SAC
255 W BROADWAY
WAUKESHA, WI 53186-4832
Phone number: 262-420-9088
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Mailing Address
DIANE WEBB SAC
255 W BROADWAY
WAUKESHA, WI 53186-4832
Phone number: 262-420-9088
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