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1629023973
DAVID E LONG
MOUNTAIN HOME, TN
NPI
1629023973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN 0000000065)
Enumeration Date
2006-05-24
Last Update Date
2007-07-08
Business Address
Mr. DAVID E LONG LCSW
VA MEDICAL CENTER DOGWOOD AVENUE
MOUNTAIN HOME, TN 37684-1000
Phone number: 423-926-1171
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Mailing Address
Mr. DAVID E LONG LCSW
115 MEADOWVIEW RD
MOSHEIM, TN 37818-3616
Phone number: 423-926-1171
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