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1245696558
AMY RENEE LONG
DALTON, GA
NPI
1245696558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC007501)
Enumeration Date
2016-01-04
Last Update Date
2016-01-04
Business Address
-- AMY RENEE LONG LPC
2406 CLEVELAND HWY SUITE 305
DALTON, GA 30721-8155
Phone number: 706-277-4883
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Mailing Address
-- AMY RENEE LONG LPC
1659 FARLEY DR
TUNNEL HILL, GA 30755-7769
Phone number: 423-802-9080
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