MATTHEW WALKER LONG

BENTONVILLE, AR
NPI1366871642
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-11-06
Last Update Date2013-11-06
Business Address
-- MATTHEW WALKER LONG MA
1002 SE C ST
BENTONVILLE, AR 72712-6327
Phone number: 479-271-2120
Mailing Address
-- MATTHEW WALKER LONG MA
656 SHORES AVE
CAVE SPRINGS, AR 72718-9046
Phone number: 870-866-2786
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