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1710199062
J. FREDERICK LONG
CHICAGO, IL
NPI
1710199062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
-- J. FREDERICK LONG Ph.D.
1525 E 53RD ST SUITE #421
CHICAGO, IL 60615-4557
Phone number: 773-752-8166
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Mailing Address
-- J. FREDERICK LONG Ph.D.
1525 E 53RD ST SUITE #421
CHICAGO, IL 60615-4557
Phone number: 773-752-8166
Copy
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