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1164584629
DIANE LONG
LUBBOCK, TX
NPI
1164584629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 17725)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
-- DIANE LONG M.Ed., LPC
8207 HUDSON AVE
LUBBOCK, TX 79423-2805
Phone number: 806-780-0003
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Mailing Address
-- DIANE LONG M.Ed., LPC
8207 HUDSON AVE
LUBBOCK, TX 79423-2805
Phone number: 806-780-0003
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