Individual
MARI CAMILLA HANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
2422 N GRANDVIEW BLVD, WAUKESHA, WI 53188
(262) 549-6600
(262) 549-6698
Mailing address
2422 N GRANDVIEW BLVD, WAUKESHA, WI 53188
(262) 549-6600
(262) 549-6600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1641132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39165800
—
WI
Enumeration date
03/17/2008
Last updated
03/17/2008
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