CARRIE LONG

BEDFORD, IN
NPI1619323623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  28161644A)
Enumeration Date2016-05-09
Last Update Date2016-05-09
Business Address
-- CARRIE LONG PMHNP
2125 16TH ST
BEDFORD, IN 47421-3003
Phone number: 812-275-4053
Mailing Address
-- CARRIE LONG PMHNP
2125 16TH ST
BEDFORD, IN 47421-3003
Phone number: 812-275-4053
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