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1134653637
ELIZABETH LONG
WINSTON SALEM, NC
NPI
1134653637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NC 11517)
Enumeration Date
2017-04-12
Last Update Date
2019-05-15
Business Address
ELIZABETH LONG
307 UPTON ST
WINSTON SALEM, NC 27103-1735
Phone number: 336-837-4222
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Mailing Address
ELIZABETH LONG
836 OAK ST STE 200
WINSTON SALEM, NC 27101-1452
Phone number:
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