TERESA NICOLE LONG

MUNCIE, IN
NPI1740825488
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  99095605A)
Enumeration Date2019-11-15
Last Update Date2019-11-15
Business Address
TERESA NICOLE LONG
1715 N GRANVILLE AVE STE C
MUNCIE, IN 47303-2149
Phone number: 765-717-1403
Mailing Address
TERESA NICOLE LONG
1715 N GRANVILLE AVE STE C
MUNCIE, IN 47303-2149
Phone number: 765-717-1403
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