GLENN B LONGIE

ROLLA, ND
NPI1992912554
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND  1514)
Enumeration Date2007-05-16
Last Update Date2007-07-09
Business Address
-- GLENN B LONGIE LAC
113 MAIN AVE E
ROLLA, ND 58367
Phone number: 701-477-8272
Mailing Address
-- GLENN B LONGIE LAC
PO BOX 650
DEVILS LAKE, ND 58301-0650
Phone number: 701-477-8272
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