C FREDERICK DE LONG

WAYNE, PA
NPI1174538581
Other NameFRED DE LONG
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC1900X Psychologist Counseling
(Licence: PA  PS006601L)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
C FREDERICK DE LONG PH.D.
14 FOREST RD
WAYNE, PA 19087-3204
Phone number: 610-688-0418
Mailing Address
C FREDERICK DE LONG PH.D.
14 FOREST RD
WAYNE, PA 19087-3204
Phone number: 610-688-0418
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