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1528353760
MARY KATHRYN LONG
TAMPA, FL
NPI
1528353760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH10522)
Enumeration Date
2011-06-16
Last Update Date
2011-06-16
Business Address
-- MARY KATHRYN LONG LMHC
11209 CASEY RD
TAMPA, FL 33618-5306
Phone number: 813-610-1815
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Mailing Address
-- MARY KATHRYN LONG LMHC
4315 W SANTIAGO ST
TAMPA, FL 33629-7723
Phone number: 813-610-1815
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