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1053764480
EILEEN LONG
JEFFERSON CITY, MO
NPI
1053764480
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Former Name
EILEEN ROLD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2013010516)
Enumeration Date
2016-07-20
Last Update Date
2016-07-20
Business Address
-- EILEEN LONG LCSW
1001 SOUTHWEST BLVD STE. F
JEFFERSON CITY, MO 65109-2501
Phone number: 573-424-1108
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Mailing Address
-- EILEEN LONG LCSW
1001 SOUTHWEST BLVD STE. F
JEFFERSON CITY, MO 65109-2501
Phone number:
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