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1073808507
LISA LONG
CHARLOTTE, NC
NPI
1073808507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2011-06-13
Last Update Date
2016-06-28
Business Address
Dr. LISA LONG PSY.D.
1524 DUCKWORTH AVE
CHARLOTTE, NC 28208-4315
Phone number: 980-267-5153
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Mailing Address
Dr. LISA LONG PSY.D.
1524 DUCKWORTH AVE
CHARLOTTE, NC 28208-4315
Phone number: 980-267-5153
Copy
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