ALICIA A LONG

PHILADELPHIA, PA
NPI1538994934
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TM1800X Psychologist Mental Retardation & Developmental Disabilities
Enumeration Date2024-09-04
Last Update Date2024-09-04
Business Address
ALICIA A LONG N/A
6227 WALKER ST
PHILADELPHIA, PA 19135-3507
Phone number: 267-592-8704
Mailing Address
ALICIA A LONG N/A
6227 WALKER ST
PHILADELPHIA, PA 19135-3507
Phone number: 267-592-8704
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