LISE D DELONG

GREENWOOD, IN
NPI1295030666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date2011-01-17
Last Update Date2011-01-17
Business Address
-- LISE D DELONG PH.D. CPCRT
1678 FRY RD STE C
GREENWOOD, IN 46142-1176
Phone number: 317-888-7420
Mailing Address
-- LISE D DELONG PH.D. CPCRT
1678 FRY RD STE C
GREENWOOD, IN 46142-1176
Phone number: 317-888-7420
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