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1386035814
JODY LONG
WILMINGTON, NC
NPI
1386035814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NC 4690)
Enumeration Date
2015-02-05
Last Update Date
2022-08-09
Business Address
JODY LONG LPA, LCAS, CCS
116 ELLIOTT DR
WILMINGTON, NC 28405-8433
Phone number: 910-623-0605
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Mailing Address
JODY LONG LPA, LCAS, CCS
PO BOX 4682
WILMINGTON, NC 28406-1682
Phone number:
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