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1225508146
KIM MARIE LONG
FREDERICK, MD
NPI
1225508146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MD LC0743)
Enumeration Date
2018-12-04
Last Update Date
2018-12-04
Business Address
KIM MARIE LONG LCPC
300 W 9TH ST
FREDERICK, MD 21701-4541
Phone number: 667-600-3310
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Mailing Address
KIM MARIE LONG LCPC
300 W 9TH ST
FREDERICK, MD 21701-4541
Phone number: 667-600-3310
Copy
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