MARY KATHRYN LONG

TAMPA, FL
NPI1528353760
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH10522)
Enumeration Date2011-06-16
Last Update Date2011-06-16
Business Address
-- MARY KATHRYN LONG LMHC
11209 CASEY RD
TAMPA, FL 33618-5306
Phone number: 813-610-1815
Mailing Address
-- MARY KATHRYN LONG LMHC
4315 W SANTIAGO ST
TAMPA, FL 33629-7723
Phone number: 813-610-1815