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1417051483
DIANE ROSE CARR
BROOKFIELD, WI
NPI
1417051483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 1100-123)
Enumeration Date
2006-09-12
Last Update Date
2007-07-08
Business Address
Ms. DIANE ROSE CARR LCSW
16535 W BLUEMOUND RD SUITE 200
BROOKFIELD, WI 53005-5936
Phone number: 262-789-1191
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Mailing Address
Ms. DIANE ROSE CARR LCSW
415 LAKE ST
MUKWONAGO, WI 53149-1328
Phone number: 262-363-5152
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