SHANE RAYMOND LONG

NEW BRIGHTON, MN
NPI1447521356
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: MN  2462)
Enumeration Date2012-01-24
Last Update Date2012-01-24
Business Address
Mr. SHANE RAYMOND LONG L.M.F.T.
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112-2571
Phone number: 651-636-5120
Mailing Address
Mr. SHANE RAYMOND LONG L.M.F.T.
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112-2571
Phone number: 651-636-5120
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