KAI JEANINE LONG

ST AUGUSTINE, FL
NPI1063552404
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA8605)
Enumeration Date2007-02-07
Last Update Date2008-05-01
Business Address
Mrs. KAI JEANINE LONG M.A.
190 SOUTHPARK BLVD SUITE 100
ST AUGUSTINE, FL 32086-4120
Phone number: 904-824-1478
Mailing Address
Mrs. KAI JEANINE LONG M.A.
605 TWENTY SECOND STREET
ST. AUGUSTINE, FL 32084
Phone number: 904-824-6924
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