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1720561194
DOVE LONG
DOUGLASVILLE, GA
NPI
1720561194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-09-12
Last Update Date
2018-09-12
Business Address
DOVE LONG
2109 FAIRBURN RD # A
DOUGLASVILLE, GA 30135-1037
Phone number: 770-726-7958
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Mailing Address
DOVE LONG
9359 OPAL DR
DOUGLASVILLE, GA 30135-2049
Phone number:
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