Ms Diana M Stafford, MS | |
4089 County Hwy N, Colfax, WI 54730-2322 | |
(715) 829-0391 | |
Not Available |
Full Name | Ms Diana M Stafford |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 4089 County Hwy N, Colfax, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407928740 | NPI | - | NPPES |
39274200 | Medicaid | WI | |
15953 | Other | WI | APPROVED SUPERVISOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3574-123 (Wisconsin) | Secondary |
106H00000X | Marriage & Family Therapist | 71-124 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Diana M Stafford, MS 4089 County Hwy N, Colfax, WI 54730-2322 Ph: (715) 829-0391 | Ms Diana M Stafford, MS 4089 County Hwy N, Colfax, WI 54730-2322 Ph: (715) 829-0391 |
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