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1144747213
GARY W LONG
LAVALE, MD
NPI
1144747213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 20551)
Enumeration Date
2017-08-29
Last Update Date
2022-07-21
Business Address
GARY W LONG LCSW-C
922 NATIONAL HWY
LAVALE, MD 21502-7325
Phone number: 240-362-7294
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Mailing Address
GARY W LONG LCSW-C
922 NATIONAL HWY
LAVALE, MD 21502-7325
Phone number: 240-362-7294
Copy
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