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1407698517
MEGHAN DYAN LONG
VENTURA, CA
NPI
1407698517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2024-06-10
Last Update Date
2024-06-10
Business Address
MEGHAN DYAN LONG
125 W HARRISON AVE
VENTURA, CA 93001-1886
Phone number: 805-653-2596
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Mailing Address
MEGHAN DYAN LONG
906 N VENTURA AVE
VENTURA, CA 93001-1702
Phone number: 805-653-2596
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