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1578092094
EBONI SHARAI LONG
CHATTANOOGA, TN
NPI
1578092094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2017-06-08
Last Update Date
2017-06-08
Business Address
EBONI SHARAI LONG
6110 SHALLOWFORD RD STE B
CHATTANOOGA, TN 37421-1894
Phone number: 423-304-1202
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Mailing Address
EBONI SHARAI LONG
3508 OHLS AVE
CHATTANOOGA, TN 37410-1340
Phone number:
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