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1891221792
JENNIFER MILDRED LONG
BELMONT, NC
NPI
1891221792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C010734)
Enumeration Date
2017-05-11
Last Update Date
2021-01-30
Business Address
JENNIFER MILDRED LONG MSW, LCSW
1165 MCKEE FARM LN
BELMONT, NC 28012-8671
Phone number: 704-928-8266
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Mailing Address
JENNIFER MILDRED LONG MSW, LCSW
171 BEVIS LN
STATESVILLE, NC 28677-9720
Phone number: 704-902-5512
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