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1396047056
MARISSA LONG
CLAREMONT, CA
NPI
1396047056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSB35507)
Enumeration Date
2010-11-30
Last Update Date
2010-11-30
Business Address
Dr. MARISSA LONG MAOB, Psy.D.
250 W 1ST ST 230
CLAREMONT, CA 91711-4736
Phone number: 909-624-1997
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Mailing Address
Dr. MARISSA LONG MAOB, Psy.D.
250 W 1ST ST 230
CLAREMONT, CA 91711-4736
Phone number: 909-624-1997
Copy
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