VANESSA DIANA STATAM

MADISON, WI
NPI1659926509
Former NameVANESSA DIANA BUSH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  9892-123)
Enumeration Date2019-08-07
Last Update Date2025-03-25
Business Address
Ms. VANESSA DIANA STATAM LCSW
2701 INTERNATIONAL LN STE 201
MADISON, WI 53704-3126
Phone number: 608-268-6530
Mailing Address
Ms. VANESSA DIANA STATAM LCSW
815 FORWARD DRIVE
MADISON, WI 53711-2443
Phone number: 608-268-6530
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