Individual
MR. STEVEN RICHARD LANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSW
Contact information
Practice address
1531 S MADISON ST, STE. 580, APPLETON, WI 54915-1800
(920) 730-4411
(920) 730-4995
Mailing address
1531 S MADISON ST, STE. 580, APPLETON, WI 54915-1800
(920) 730-4411
(920) 730-4995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7657-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39717900
—
WI
Enumeration date
12/05/2006
Last updated
02/23/2012
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