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1780715904
TRACI M LONG
LEXINGTON, KY
NPI
1780715904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-08
Last Update Date
2007-07-09
Business Address
Ms. TRACI M LONG BA
600 OLD FRANKFORT CIR
LEXINGTON, KY 40510-9689
Phone number: 859-253-1686
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Mailing Address
Ms. TRACI M LONG BA
1351 NEWTOWN PIKE
LEXINGTON, KY 40511-1217
Phone number: 859-253-1686
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