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1912416561
MICHAEL PAUL LONG
LAKE OSWEGO, OR
NPI
1912416561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L6758)
Enumeration Date
2017-09-27
Last Update Date
2022-07-21
Business Address
MICHAEL PAUL LONG LCSW
14523 WESTLAKE DRIVE, LAKE OSWEGO, OR 97035
LAKE OSWEGO, OR 97035
Phone number: 971-280-0370
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Mailing Address
MICHAEL PAUL LONG LCSW
14523 WESTLAKE DRIVE, LAKE OSWEGO, OR 97035
LAKE OSWEGO, OR 97035
Phone number: 971-280-0370
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