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1720635113
MENLEY RAE LONG
GREENWELL SPRINGS, LA
NPI
1720635113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
MENLEY RAE LONG MHS
6685 SULLIVAN RD STE B
GREENWELL SPRINGS, LA 70739-3112
Phone number: 225-261-7143
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Mailing Address
MENLEY RAE LONG MHS
6685 SULLIVAN RD STE B
GREENWELL SPRINGS, LA 70739-3112
Phone number: 225-261-7143
Copy
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