LAFAYETTE LONG

GASTONIA, NC
NPI1639760135
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  P015147)
Enumeration Date2021-01-28
Last Update Date2021-01-28
Business Address
LAFAYETTE LONG
175 W FRANKLIN BLVD
GASTONIA, NC 28052-4145
Phone number: 704-865-3525
Mailing Address
LAFAYETTE LONG
175 W FRANKLIN BLVD
GASTONIA, NC 28052-4145
Phone number: