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1295280337
DIANA LEE ANDERSON
MILWAUKEE, WI
NPI
1295280337
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Former Name
DIANA LEE MILLIMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-08-18
Last Update Date
2016-08-18
Business Address
-- DIANA LEE ANDERSON
6815 W CAPITOL DR STE 112
MILWAUKEE, WI 53216-2056
Phone number: 414-763-7671
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Mailing Address
-- DIANA LEE ANDERSON
6815 W CAPITOL DR STE 112
MILWAUKEE, WI 53216-2056
Phone number: 414-763-7671
Copy
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