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1588983118
LATRICIA LONG
SPENCER, OK
NPI
1588983118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-05-21
Last Update Date
2010-05-21
Business Address
-- LATRICIA LONG
2901 SPENCER RD
SPENCER, OK 73084-3224
Phone number: 405-767-1126
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Mailing Address
-- LATRICIA LONG
2901 SPENCER RD
SPENCER, OK 73084-3224
Phone number: 405-767-1126
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