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1093330912
MATTHEW W LONG
LOVELAND, CO
NPI
1093330912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO CSW.09926715)
Enumeration Date
2020-06-16
Last Update Date
2022-07-08
Business Address
MATTHEW W LONG LCSW
832 W EISENHOWER BLVD STE B5
LOVELAND, CO 80537-3134
Phone number: 970-430-6751
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Mailing Address
MATTHEW W LONG LCSW
320 W OLIVE ST
FORT COLLINS, CO 80521-2716
Phone number: 970-310-3406
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