Diane Wizner
Counselor, Professional in Appleton, WI. Individual provider (NPI-1).
NPI number1174672000
StatusActive
Last updated in NPPESJul 7, 2010
Details
- NPI
- 1174672000
- Entity type
- Individual (NPI-1)
- Name
- Diane Wizner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2007
- Last updated
- Jul 7, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 4060-125 | WI | Yes |
Practice location
103 W College AveSuite 815
Appleton, WI 54911-5770
Phone 920-733-1992 · Fax 920-733-1866
Mailing address
103 W College AveSuite 815
Appleton, WI 54911-5770
Phone 920-733-1992 · Fax 920-733-1866
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