JODY LONG

WILMINGTON, NC
NPI1386035814
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: NC  4690)
Enumeration Date2015-02-05
Last Update Date2022-08-09
Business Address
JODY LONG LPA, LCAS, CCS
116 ELLIOTT DR
WILMINGTON, NC 28405-8433
Phone number: 910-623-0605
Mailing Address
JODY LONG LPA, LCAS, CCS
PO BOX 4682
WILMINGTON, NC 28406-1682
Phone number:
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