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1215172382
WESLEY LONG
VICTORVILLE, CA
NPI
1215172382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2008-12-03
Last Update Date
2008-12-03
Business Address
WESLEY LONG CSACI, CSACII
16248 VICTOR STREET
VICTORVILLE, CA 92395-3934
Phone number: 760-243-7151
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Mailing Address
WESLEY LONG CSACI, CSACII
16248 VICTOR STREET
VICTORVILLE, CA 92395-3934
Phone number: 760-243-7151
Copy
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