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1891451662
LEA LONG
SIOUX FALLS, SD
NPI
1891451662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: SD 5128)
Enumeration Date
2021-11-16
Last Update Date
2021-11-16
Business Address
LEA LONG LCSW-PIP
4400 W 69TH ST STE 100
SIOUX FALLS, SD 57108-8172
Phone number: 605-322-4008
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Mailing Address
LEA LONG LCSW-PIP
4400 W 69TH ST
SIOUX FALLS, SD 57108-8170
Phone number: 605-322-4008
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