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1245975937
KRISTINE LONG
ANKENY, IA
NPI
1245975937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: IA 110508)
Enumeration Date
2022-04-28
Last Update Date
2022-04-28
Business Address
KRISTINE LONG
1105 N ANKENY BLVD STE 100
ANKENY, IA 50023-4003
Phone number: 515-255-8399
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Mailing Address
KRISTINE LONG
2812 50TH ST
DES MOINES, IA 50310-2561
Phone number: 515-720-1284
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