MATT LONG

JACKSON, TN
NPI1508957838
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2006-09-28
Last Update Date2007-07-09
Business Address
MATT LONG B.A.
45 EXECUTIVE DR
JACKSON, TN 38305-2337
Phone number: 731-664-2083
Mailing Address
MATT LONG B.A.
45 EXECUTIVE DR
JACKSON, TN 38305-2337
Phone number: 731-664-2083
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