Individual
MR. AUGUSTUS ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.
Contact information
Practice address
5000 WEST NATIONAL AVE, MILWAUKEE, WI 53295
(414) 384-2000
Mailing address
2017 SOUTH WESTGRAND LANE, MILWAUKEE, WI 53219
(414) 645-4765
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10841
WI
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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