JONATHAN LONG

BOSTON, MA
NPI1891336418
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-10-04
Last Update Date2019-10-04
Business Address
JONATHAN LONG
695 TRUMAN HWY
BOSTON, MA 02136-3552
Phone number: 887-637-2728
Mailing Address
JONATHAN LONG
695 TRUMAN HWY
BOSTON, MA 02136-3552
Phone number: 887-637-2728
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