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1134684228
LORRIE RENE LONG
DETROIT, MI
NPI
1134684228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801102624)
Enumeration Date
2019-02-04
Last Update Date
2021-11-30
Business Address
LORRIE RENE LONG
62 W 7 MILE RD
DETROIT, MI 48203-1967
Phone number: 313-893-6172
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Mailing Address
LORRIE RENE LONG
62 W 7 MILE RD
DETROIT, MI 48203-1967
Phone number: 313-893-6172
Copy
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