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1093000788
SCOTT LANG
MILWAUKEE, WI
NPI
1093000788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 16290-130)
Enumeration Date
2011-06-10
Last Update Date
2011-06-10
Business Address
Mr. SCOTT LANG sac-it
6040 W LISBON AVE 102
MILWAUKEE, WI 53210-2116
Phone number: 414-454-6707
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Mailing Address
Mr. SCOTT LANG sac-it
3008 W STATE ST 5
MILWAUKEE, WI 53208-3403
Phone number:
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