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1235349986
RICHARD P LONG
COLUMBUS, GA
NPI
1235349986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: GA MFT000855)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- RICHARD P LONG MFT
1350 15TH AVE
COLUMBUS, GA 31901-2308
Phone number: 706-327-3238
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Mailing Address
-- RICHARD P LONG MFT
609 BROADWAY
COLUMBUS, GA 31901-2918
Phone number: 706-596-8952
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