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1366121840
W. MICHELLE LONG, LCSW, PROFESSIONAL LIMITED LIABILITY COMPANY
CRESTVIEW, FL
NPI
1366121840
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Entity Type
Organization
Authorized Contact
WANDA MICHELLE LONG
Lcsw
850-547-6922
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
W. MICHELLE LONG, LCSW, PROFESSIONAL LIMITED LIABILITY COMPANY
502 E 2ND AVE
CRESTVIEW, FL 32536
Phone number: 850-547-6922
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Mailing Address
W. MICHELLE LONG, LCSW, PROFESSIONAL LIMITED LIABILITY COMPANY
502 E 2ND AVE
CRESTVIEW, FL 32536
Phone number: 850-547-6922
Copy
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