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1306935804
BEVERLY JEAN LONG
ANOKA, MN
NPI
1306935804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: MN LP1680)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Dr. BEVERLY JEAN LONG Psy.D.
3301 7TH AVE
ANOKA, MN 55303-4516
Phone number: 763-712-4060
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Mailing Address
Dr. BEVERLY JEAN LONG Psy.D.
546 WINONA ST E
SAINT PAUL, MN 55107-2425
Phone number: 651-253-8438
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