DARIAN WADE LONG

KENNETT, MO
NPI1912303405
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: MO  8162)
Enumeration Date2014-11-10
Last Update Date2014-11-10
Business Address
Mr. DARIAN WADE LONG
925 HIGHWAY VV
KENNETT, MO 63857
Phone number: 573-888-5925
Mailing Address
Mr. DARIAN WADE LONG
925 HIGHWAY VV
KENNETT, MO 63857-0071
Phone number: