JACK MARTIN LONG

CATONSVILLE, MD
NPI1447296629
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  03068)
Enumeration Date2006-06-22
Last Update Date2011-12-12
Business Address
Dr. JACK MARTIN LONG Ph.D.
720C MAIDEN CHOICE LN
CATONSVILLE, MD 21228-5940
Phone number: 410-744-5499
Mailing Address
Dr. JACK MARTIN LONG Ph.D.
720 MAIDEN CHOICE LN SUITE C
CATONSVILLE, MD 21228-5940
Phone number: 410-744-5499
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