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1639760135
LAFAYETTE LONG
GASTONIA, NC
NPI
1639760135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P015147)
Enumeration Date
2021-01-28
Last Update Date
2021-01-28
Business Address
LAFAYETTE LONG
175 W FRANKLIN BLVD
GASTONIA, NC 28052-4145
Phone number: 704-865-3525
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Mailing Address
LAFAYETTE LONG
175 W FRANKLIN BLVD
GASTONIA, NC 28052-4145
Phone number:
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