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1801402789
KATRINA LONG
PUEBLO, CO
NPI
1801402789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO LPC.0018746)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2020-09-16
Last Update Date
2022-10-12
Business Address
KATRINA LONG
1012 W ABRIENDO AVE
PUEBLO, CO 81004-1128
Phone number: 719-545-2746
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Mailing Address
KATRINA LONG
41 MONTEBELLO RD STE 204
PUEBLO, CO 81001-1379
Phone number: 719-545-2746
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