JOSHUA NEIL LONG

CHICAGO, IL
NPI1902927411
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146007008)
Enumeration Date2007-04-02
Last Update Date2007-07-08
Business Address
-- JOSHUA NEIL LONG
9933 S MAPLEWOOD AVE
CHICAGO, IL 60655-1057
Phone number: 773-339-3232
Mailing Address
-- JOSHUA NEIL LONG
9933 S MAPLEWOOD AVE
CHICAGO, IL 60655-1057
Phone number: 773-339-3232
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