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1225215460
DIANE LUEBKE
WEST ALLIS, WI
NPI
1225215460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15302-130)
Enumeration Date
2008-01-30
Last Update Date
2008-01-30
Business Address
-- DIANE LUEBKE
2187 S 85TH ST
WEST ALLIS, WI 53227-1747
Phone number: 414-321-2648
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Mailing Address
-- DIANE LUEBKE
2187 S 85TH ST
WEST ALLIS, WI 53227-1747
Phone number: 414-321-2648
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