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1134834468
KRISTY LAUREN LONG
SANTA MONICA, CA
NPI
1134834468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA AMFT132188)
Enumeration Date
2023-01-20
Last Update Date
2024-10-29
Business Address
KRISTY LAUREN LONG AMFT
2801 OCEAN PARK BLVD PNB 346
SANTA MONICA, CA 90405-2905
Phone number: 424-229-2122
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Mailing Address
KRISTY LAUREN LONG AMFT
621 S SPRING ST APT 209
LOS ANGELES, CA 90014-3917
Phone number: 805-749-0014
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