J ALAN LONG

HOMEWOOD, IL
NPI1417002569
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071001383)
Enumeration Date2007-01-25
Last Update Date2007-07-08
Business Address
-- J ALAN LONG PhD
18019 DIXIE 1C
HOMEWOOD, IL 60430
Phone number: 708-799-2929
Mailing Address
-- J ALAN LONG PhD
PO BOX 1277 18019 DIXIE 1C
HOMEWOOD, IL 60430
Phone number: 708-799-2929
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