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1447702113
SHANNA LONG
GREAT BEND, KS
NPI
1447702113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: KS 10242)
Enumeration Date
2016-10-28
Last Update Date
2016-10-28
Business Address
SHANNA LONG LMSW
5815 BROADWAY AVE
GREAT BEND, KS 67530-3123
Phone number: 620-792-2544
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Mailing Address
SHANNA LONG LMSW
5815 BROADWAY AVE
GREAT BEND, KS 67530-3123
Phone number: 620-792-2544
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