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1003271859
ALIXANDRE JAICE LONG
SAN FRANCISCO, CA
NPI
1003271859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-22
Last Update Date
2015-12-22
Business Address
-- ALIXANDRE JAICE LONG MSS
810 CAPP ST
SAN FRANCISCO, CA 94110-3225
Phone number: 415-285-0810
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Mailing Address
-- ALIXANDRE JAICE LONG MSS
368 FELL ST
SAN FRANCISCO, CA 94102-5144
Phone number: 415-861-0828
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