SCOTT LANG

MILWAUKEE, WI
NPI1093000788
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  16290-130)
Enumeration Date2011-06-10
Last Update Date2011-06-10
Business Address
MR. SCOTT LANG SAC-IT
6040 W LISBON AVE 102
MILWAUKEE, WI 53210-2116
Phone number: 414-454-6707
Mailing Address
MR. SCOTT LANG SAC-IT
3008 W STATE ST 5
MILWAUKEE, WI 53208-3403
Phone number:
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