LESTER LONG

ATLANTA, GA
NPI1477032217
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA  044)
Enumeration Date2018-08-13
Last Update Date2018-08-13
Business Address
LESTER LONG
1156 WOODLAND AVE NE
ATLANTA, GA 30324-4400
Phone number: 404-772-6757
Mailing Address
LESTER LONG
1156 WOODLAND AVE NE
ATLANTA, GA 30324-4400
Phone number: 404-772-6757
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