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1447654744
ANNA LONG
LAFAYETTE, IN
NPI
1447654744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 2200610A)
Enumeration Date
2014-10-15
Last Update Date
2014-10-15
Business Address
-- ANNA LONG M.S., CCC-SLP
508 S 10TH ST
LAFAYETTE, IN 47905-1206
Phone number: 317-989-9248
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Mailing Address
-- ANNA LONG M.S., CCC-SLP
508 S 10TH ST
LAFAYETTE, IN 47905-1206
Phone number:
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