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1114314168
KELLI LONG
LEAVENWORTH, KS
NPI
1114314168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: KS 9392)
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-04-16
Last Update Date
2024-01-02
Business Address
KELLI LONG LMSW
500 LIMIT ST
LEAVENWORTH, KS 66048-4435
Phone number: 913-682-5118
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Mailing Address
KELLI LONG LMSW
500 LIMIT ST
LEAVENWORTH, KS 66048-4435
Phone number: 913-682-5118
Copy
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