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1962013318
LEE ANN LONGO
BELLFLOWER, CA
NPI
1962013318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R1359290819)
Enumeration Date
2020-08-10
Last Update Date
2020-08-10
Business Address
MRS. LEE ANN LONGO
16314 CORNUTA AVE
BELLFLOWER, CA 90706-4814
Phone number: 562-461-9272
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Mailing Address
MRS. LEE ANN LONGO
16314 CORNUTA AVE
BELLFLOWER, CA 90706-4814
Phone number: 562-461-9272
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