MATTHEW LONGFELLOW

CHARLESTOWN, IN
NPI1194182675
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  101ya0400x)
Enumeration Date2016-01-28
Last Update Date2016-01-28
Business Address
-- MATTHEW LONGFELLOW
7509 CHARLESTOWN PIKE
CHARLESTOWN, IN 47111-9623
Phone number: 812-256-4686
Mailing Address
-- MATTHEW LONGFELLOW
7509 CHARLESTOWN PIKE
CHARLESTOWN, IN 47111-9623
Phone number: 812-256-4686
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