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1013669951
ALICIA N LONG
MONTGOMERY, AL
NPI
1013669951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AL C3793A)
Enumeration Date
2022-01-21
Last Update Date
2022-01-21
Business Address
Ms. ALICIA N LONG ALC
338 MOORELAND RD
MONTGOMERY, AL 36104-5471
Phone number: 334-221-0727
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Mailing Address
Ms. ALICIA N LONG ALC
338 MOORELAND RD
MONTGOMERY, AL 36104-5471
Phone number: 334-221-0727
Copy
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