RICHARD ANTHONY LONG

LAWRENCEVILLE, GA
NPI1184242331
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  LPC011639)
Enumeration Date2020-07-13
Last Update Date2020-07-13
Business Address
RICHARD ANTHONY LONG
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
Mailing Address
RICHARD ANTHONY LONG
3202 MISTY CREEK DR
DECATUR, GA 30033-4442
Phone number: 434-509-8931
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