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1932475779
BRIAN LEE LONG
CUMMING, GA
NPI
1932475779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: GA 006744)
Enumeration Date
2012-03-27
Last Update Date
2015-02-28
Business Address
Mr. BRIAN LEE LONG LPC
410 PEACHTREE PKWY 4245
CUMMING, GA 30041-7066
Phone number: 404-644-8967
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Mailing Address
Mr. BRIAN LEE LONG LPC
562 LAKELAND PLZ # 326
CUMMING, GA 30040-2783
Phone number: 404-644-8967
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