DIANA WEATHERALL

MILWAUKEE, WI
NPI1366531840
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  11393)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
Ms. DIANA WEATHERALL CADC III
2601 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI 53212-2711
Phone number: 414-263-8352
Mailing Address
Ms. DIANA WEATHERALL CADC III
6400 INDUSTRIAL LOOP
GREENDALE, WI 53129-2452
Phone number: 414-423-4100