MILES OWEN LONGINO

LAWRENCEVILLE, GA
NPI1932094299
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-06-09
Last Update Date2025-06-09
Business Address
MILES OWEN LONGINO
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
Mailing Address
MILES OWEN LONGINO
627 GREENLEAF RD
CONYERS, GA 30013-2276
Phone number: 623-354-7845
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