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1265788095
DONNA LONG
OAKLAND, CA
NPI
1265788095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 50398)
Enumeration Date
2012-07-30
Last Update Date
2021-08-18
Business Address
DONNA LONG MFT
4601 MANILA AVE
OAKLAND, CA 94609-2269
Phone number: 415-860-3753
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Mailing Address
DONNA LONG MFT
4601 MANILA AVE
OAKLAND, CA 94609-2269
Phone number: 415-860-3753
Copy
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