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1881810950
COREY LYNN LONG
NEW BEDFORD, MA
NPI
1881810950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 1028753)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
Mrs. COREY LYNN LONG LICSW
543 NORTH ST
NEW BEDFORD, MA 02740-2766
Phone number: 508-984-5566
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Mailing Address
Mrs. COREY LYNN LONG LICSW
70 WAREHAM LAKE SHORE DR
EAST WAREHAM, MA 02538-1429
Phone number: 508-291-9946
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