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1689399107
ALEXIS R. LONGO
MONTCLAIR, NJ
NPI
1689399107
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Other Name
ALI LONGO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-10-06
Last Update Date
2022-10-06
Business Address
ALEXIS R. LONGO LAC
70 PARK ST STE 104
MONTCLAIR, NJ 07042-2960
Phone number: 862-234-5029
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Mailing Address
ALEXIS R. LONGO LAC
70 PARK ST STE 104
MONTCLAIR, NJ 07042-2960
Phone number:
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