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1366531840
DIANA WEATHERALL
MILWAUKEE, WI
NPI
1366531840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 11393)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Ms. DIANA WEATHERALL CADC III
2601 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI 53212-2711
Phone number: 414-263-8352
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Mailing Address
Ms. DIANA WEATHERALL CADC III
6400 INDUSTRIAL LOOP
GREENDALE, WI 53129-2452
Phone number: 414-423-4100
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