GENNA LAUREN LONG

TEGA CAY, SC
NPI1962398800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: SC  30508)
Enumeration Date2025-06-17
Last Update Date2025-09-26
Business Address
GENNA LAUREN LONG PMHNP-BC
1180 STONECREST BLVD STE 101
TEGA CAY, SC 29708-6638
Phone number: 803-372-8585
Mailing Address
GENNA LAUREN LONG PMHNP-BC
1180 STONECREST BLVD STE 101
TEGA CAY, SC 29708-6638
Phone number: 803-372-8585
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