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1326654161
MICHELLE DIANE LONG
COLUMBIA, MD
NPI
1326654161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MD ATC340)
Enumeration Date
2020-09-17
Last Update Date
2023-05-19
Business Address
Ms. MICHELLE DIANE LONG LCPAT
10630 LITTLE PATUXENT PKWY
COLUMBIA, MD 21044-3264
Phone number: 410-740-8066
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Mailing Address
Ms. MICHELLE DIANE LONG LCPAT
8580 E BELLEWOOD PL
DENVER, CO 80237-2906
Phone number: 469-834-6075
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