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1033696034
SCOTT ANTHONY LONG
MARTINSBURG, WV
NPI
1033696034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IA 090402)
Enumeration Date
2018-07-23
Last Update Date
2018-07-23
Business Address
SCOTT ANTHONY LONG LMSW
510 BUTLER AVE
MARTINSBURG, WV 25405-9991
Phone number: 304-263-0811
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Mailing Address
SCOTT ANTHONY LONG LMSW
510 BUTLER AVE
MARTINSBURG, WV 25405-9991
Phone number: 304-263-0811
Copy
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