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1174538581
C FREDERICK DE LONG
WAYNE, PA
NPI
1174538581
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Other Name
FRED DE LONG
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: PA PS006601L)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
-- C FREDERICK DE LONG Ph.D.
14 FOREST RD
WAYNE, PA 19087-3204
Phone number: 610-688-0418
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Mailing Address
-- C FREDERICK DE LONG Ph.D.
14 FOREST RD
WAYNE, PA 19087-3204
Phone number: 610-688-0418
Copy
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