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1710936026
PAUL C LONG
CHATTANOOGA, TN
NPI
1710936026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: TN 1056)
Enumeration Date
2006-05-06
Last Update Date
2013-02-07
Business Address
PAUL C LONG PH D
6400 LEE HWY ST 110
CHATTANOOGA, TN 37421-2452
Phone number: 423-899-5081
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Mailing Address
PAUL C LONG PH D
PO BOX 22487
CHATTANOOGA, TN 37422-2487
Phone number: 423-899-5081
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