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1902981079
EVAN MARK LONGIN
SALEM, MA
NPI
1902981079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MA 1693)
Enumeration Date
2006-10-26
Last Update Date
2014-05-13
Business Address
-- EVAN MARK LONGIN Ed.D.
204 LAFAYETTE ST
SALEM, MA 01970-4721
Phone number: 978-744-5006
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Mailing Address
-- EVAN MARK LONGIN Ed.D.
204 LAFAYETTE ST
SALEM, MA 01970-4721
Phone number: 978-744-5006
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