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1063536621
KRISTA MICHELLE LONG
CINCINNATI, OH
NPI
1063536621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I.10108)
Enumeration Date
2007-03-19
Last Update Date
2007-10-16
Business Address
-- KRISTA MICHELLE LONG MSW, LISW, RPT
5642 HAMILTON AVE
CINCINNATI, OH 45224-3114
Phone number: 513-636-0800
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Mailing Address
-- KRISTA MICHELLE LONG MSW, LISW, RPT
2065 WOODTRAIL DRIVE UNIT 14
FAIRFIELD, OH 45014
Phone number: 513-829-3139
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