DIANE GWEN BLOOR

MILWAUKEE, WI
NPI1225059744
Former NameDIANE GWEN BLOOR-BIERSACH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WI  240-121)
Additional Taxonomies104100000X Social Worker
(Licence: WI  240-121)
101YM0800X Counselor, Mental Health
(Licence: WI  240-121)
Enumeration Date2006-07-21
Last Update Date2007-07-08
Business Address
-- DIANE GWEN BLOOR APSW
6040 W LISBON AVE
MILWAUKEE, WI 53210-2116
Phone number: 414-871-9111
Mailing Address
-- DIANE GWEN BLOOR APSW
6040 W LISBON AVE
MILWAUKEE, WI 53210-2116
Phone number: 414-871-9111