BENJAMIN LONG

WACONIA, MN
NPI1801276563
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MN  cc01004)
Enumeration Date2015-06-08
Last Update Date2018-08-16
Business Address
BENJAMIN LONG
540 E 1ST ST
WACONIA, MN 55387
Phone number: 952-442-4437
Mailing Address
BENJAMIN LONG
540 E 1ST ST
WACONIA, MN 55387-1600
Phone number: 952-442-4437
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