Individual
SALLY J LANGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
N3482 LANGLAND RD, SARONA, WI 54870-9324
(715) 469-3308
Mailing address
N3482 LANGLAND RD, SARONA, WI 54870-9324
(715) 469-3308
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
55-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39373500
—
WI
Enumeration date
10/08/2008
Last updated
10/08/2008
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