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1417147372
BEVERLY LONG, PSY.D., L.P., LLC
SAINT PAUL, MN
NPI
1417147372
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Entity Type
Organization
Authorized Contact
BEVERLY JEAN LONG
Psychologist
651-253-8438
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: MN LP1680)
Enumeration Date
2007-07-26
Last Update Date
2007-07-26
Business Address
BEVERLY LONG, PSY.D., L.P., LLC
546 WINONA ST E
SAINT PAUL, MN 55107-2425
Phone number: 651-253-8438
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Mailing Address
BEVERLY LONG, PSY.D., L.P., LLC
546 WINONA ST E
SAINT PAUL, MN 55107-2425
Phone number: 651-253-8438
Copy
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