LAURA L LONGVILLE

RAPID CITY, SD
NPI1750610754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-12-22
Last Update Date2009-12-22
Business Address
Prof. LAURA L LONGVILLE CCDC II
350 ELK ST
RAPID CITY, SD 57701-7351
Phone number: 605-343-7262
Mailing Address
Prof. LAURA L LONGVILLE CCDC II
350 ELK ST
RAPID CITY, SD 57701-7351
Phone number: 605-343-7262
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