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1982476990
BRIAN LONG
HANOVER, PA
NPI
1982476990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: PA PC016203)
Enumeration Date
2023-10-23
Last Update Date
2023-10-23
Business Address
BRIAN LONG
815 BROADWAY
HANOVER, PA 17331-2016
Phone number: 717-417-4578
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Mailing Address
BRIAN LONG
815 BROADWAY
HANOVER, PA 17331-2016
Phone number: 717-417-4578
Copy
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