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1194891598
ANDREA LONG
PORTSMOUTH, VA
NPI
1194891598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701002461)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
-- ANDREA LONG LPC
1805 AIRLINE BLVD
PORTSMOUTH, VA 23707-3912
Phone number: 757-397-2121
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Mailing Address
-- ANDREA LONG LPC
1805 AIRLINE BLVD
PORTSMOUTH, VA 23707-3912
Phone number: 757-397-2121
Copy
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