Individual
MR. SCOTT LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
6040 W LISBON AVE, 102, MILWAUKEE, WI 53210-2116
(414) 454-6707
Mailing address
3008 W STATE ST, 5, MILWAUKEE, WI 53208-3403
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16290-130
WI
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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