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1285757930
KEVIN LONGO
MANCHESTER, NH
NPI
1285757930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
-- KEVIN LONGO M.A
20 MARKET ST
MANCHESTER, NH 03101-1957
Phone number: 603-622-4747
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Mailing Address
-- KEVIN LONGO M.A
20 MARKET ST
MANCHESTER, NH 03101-1957
Phone number: 603-622-4747
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