DIANE MARIE BAST

ELM GROVE, WI
NPI1568512572
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: WI  3821125)
Enumeration Date2007-01-11
Last Update Date2007-07-08
Business Address
-- DIANE MARIE BAST LPC
500 ELM GROVE RD SUITE 100
ELM GROVE, WI 53220
Phone number: 262-782-2090
Mailing Address
-- DIANE MARIE BAST LPC
500 ELM GROVE RD SUITE 100
ELM GROVE, WI 53220
Phone number: 262-782-2090
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