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1659971802
LAUREN ANTOINETTE LONG
GRAND BLANC, MI
NPI
1659971802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401018589)
Enumeration Date
2020-10-27
Last Update Date
2020-10-27
Business Address
LAUREN ANTOINETTE LONG LLPC
732 E GRAND BLANC RD
GRAND BLANC, MI 48439-1333
Phone number: 810-771-5102
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Mailing Address
LAUREN ANTOINETTE LONG LLPC
732 E GRAND BLANC RD
GRAND BLANC, MI 48439-1333
Phone number: 810-771-5102
Copy
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