DIANE ROSE CARR

BROOKFIELD, WI
NPI1417051483
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: WI  1100-123)
Enumeration Date2006-09-12
Last Update Date2007-07-08
Business Address
MS. DIANE ROSE CARR LCSW
16535 W BLUEMOUND RD SUITE 200
BROOKFIELD, WI 53005-5936
Phone number: 262-789-1191
Mailing Address
MS. DIANE ROSE CARR LCSW
415 LAKE ST
MUKWONAGO, WI 53149-1328
Phone number: 262-363-5152
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