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1801120951
WALTER R LONG
PHOENIX, AZ
NPI
1801120951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC-13843)
Enumeration Date
2009-09-22
Last Update Date
2021-07-26
Business Address
WALTER R LONG L.P.C.
2434 E BLANCHE DR
PHOENIX, AZ 85032-4313
Phone number: 602-456-0340
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Mailing Address
WALTER R LONG L.P.C.
2434 E BLANCHE DR
PHOENIX, AZ 85032-4313
Phone number: 602-456-0340
Copy
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