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1184896128
MICHAEL W LONG
HATTIESBURG, MS
NPI
1184896128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MS M7416)
Enumeration Date
2008-03-31
Last Update Date
2008-03-31
Business Address
-- MICHAEL W LONG LMSW
103 S 19TH AVE
HATTIESBURG, MS 39401-6171
Phone number: 601-544-4641
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Mailing Address
-- MICHAEL W LONG LMSW
103 S 19TH AVE
HATTIESBURG, MS 39401-6171
Phone number:
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