Individual
MR. JUSTIN ROBERT BANGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.F.T.
Contact information
Practice address
5310 WALL ST., STE #500, MADISON, WI 53718
(608) 274-8294
Mailing address
5310 WALL ST., STE #500, MADISON, WI 53718
(608) 274-8294
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
WI
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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