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NPI Code Detail

MEDICARE: EMALEA DIEHL

MEDICARE:   EMALEA  DIEHL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1295442689
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMALEA DIEHL
Provider Business Mailing Address
First Line : 2532 N PROSPECT AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53211-4125
Country : US
Telephone Number : 641-204-2835
Fax Number :
Provider Business Practice Location Address
First Line : 3872 N 8TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53206-3303
Country : US
Telephone Number : 414-252-0210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2022
Last Update Date : 11/03/2022

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Directions to “ EMALEA DIEHL ” Practice Location

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