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1811471592
LESSIE ELLEN LONG
KENNETT, MO
NPI
1811471592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-09-19
Last Update Date
2018-09-19
Business Address
LESSIE ELLEN LONG CPS
925 HIGHWAY V V
KENNETT, MO 63857-3866
Phone number: 573-359-2600
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Mailing Address
LESSIE ELLEN LONG CPS
925 HIGHWAY V V
KENNETT, MO 63857-3866
Phone number: 573-359-2600
Copy
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