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1720225386
DIANE LUCY ELVAKER
LA CROSSE, WI
NPI
1720225386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WI 1504-127)
Enumeration Date
2009-01-19
Last Update Date
2009-01-19
Business Address
-- DIANE LUCY ELVAKER BS Human Development
1407 SAINT ANDREW ST STE 100
LA CROSSE, WI 54603-2378
Phone number: 608-989-2721
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Mailing Address
-- DIANE LUCY ELVAKER BS Human Development
W16408 NILES RD
TAYLOR, WI 54659-8506
Phone number: 608-989-9908
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