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1023297868
JIMMIE EDWARD LONG
SALT LAKE CITY, UT
NPI
1023297868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: UT 47459726009)
Enumeration Date
2007-10-29
Last Update Date
2007-10-29
Business Address
Mr. JIMMIE EDWARD LONG lpc
443 S 600 E
SALT LAKE CITY, UT 84102-2708
Phone number: 801-538-2057
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Mailing Address
Mr. JIMMIE EDWARD LONG lpc
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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