GREGORY A LONG

CHEYENNE, WY
NPI1467437731
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WY  172)
Enumeration Date2005-12-09
Last Update Date2011-03-25
Business Address
-- GREGORY A LONG MSW, LCSW
604 E 25TH ST
CHEYENNE, WY 82001-3133
Phone number: 307-637-3953
Mailing Address
-- GREGORY A LONG MSW, LCSW
604 E 25TH ST
CHEYENNE, WY 82001-3133
Phone number: 307-637-3953
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