ELIZABETH NOAMI LONG

MEDFORD, OR
NPI1467764134
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  95-R-10)
Enumeration Date2010-07-09
Last Update Date2023-04-06
Business Address
ELIZABETH NOAMI LONG CADC II
900 E MAIN ST
MEDFORD, OR 97504-7136
Phone number: 541-842-7705
Mailing Address
ELIZABETH NOAMI LONG CADC II
1000 E MAIN ST
MEDFORD, OR 97504-7667
Phone number: 541-773-3863
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