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1134834468
KRISTY LONG
LOS ANGELES, 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
2023-01-20
Business Address
KRISTY LONG AMFT
621 S SPRING ST APT 209
LOS ANGELES, CA 90014-3917
Phone number: 805-749-0014
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Mailing Address
KRISTY LONG AMFT
621 S SPRING ST APT 209
LOS ANGELES, CA 90014-3917
Phone number: 805-749-0014
Copy
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