PAMELA C LONG

BELOIT, WI
NPI1770052326
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-11-13
Last Update Date2018-11-13
Business Address
PAMELA C LONG
2240 PRAIRIE AVE
BELOIT, WI 53511-2648
Phone number: 608-361-7200
Mailing Address
PAMELA C LONG
975 S BELL SCHOOL RD
ROCKFORD, IL 61108-4457
Phone number: 779-770-4237