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1437632312
DAPHNE I LONG
GALLIPOLIS, OH
NPI
1437632312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 167991)
Enumeration Date
2018-09-07
Last Update Date
2018-09-07
Business Address
Ms. DAPHNE I LONG CDCA
1699 MCCORMICK RD
GALLIPOLIS, OH 45631-8687
Phone number: 740-208-0811
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Mailing Address
Ms. DAPHNE I LONG CDCA
1699 MCCORMICK RD
GALLIPOLIS, OH 45631-8687
Phone number: 740-208-0811
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