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1730661935
WANDA MICHELLE LONG
CRESTVIEW, FL
NPI
1730661935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW15311)
Enumeration Date
2018-09-04
Last Update Date
2018-09-04
Business Address
WANDA MICHELLE LONG LCSW
259 E OAKDALE AVE
CRESTVIEW, FL 32539-3547
Phone number: 850-682-1234
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Mailing Address
WANDA MICHELLE LONG LCSW
259 E OAKDALE AVE
CRESTVIEW, FL 32539-3547
Phone number: 850-449-9566
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