Individual
KELLY MARGARET LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10150 W NATIONAL AVE STE 370, WEST ALLIS, WI 53227-2152
(414) 501-7555
Mailing address
18155 IRIS CT APT 102, BROOKFIELD, WI 53045-5656
(262) 719-9271
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11731-123
WI
Other
Enumeration date
01/11/2025
Last updated
01/11/2025
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