JENNIFER ANN LONG

ST. PAUL, MN
NPI1831334952
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  301686)
Enumeration Date2008-12-03
Last Update Date2009-07-16
Business Address
-- JENNIFER ANN LONG MA, LADC
1351 FROST AVENUE SENIOR RECOVERY PROGRAM
ST. PAUL, MN 55109
Phone number: 651-773-0473
Mailing Address
-- JENNIFER ANN LONG MA, LADC
1351 FROST AVENUE SENIOR RECOVERY PROGRAM
ST. PAUL, MN 55109
Phone number: 651-773-0473
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