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Individual
MR. WILLIAM LONGO
Active
Individual
MR. WILLIAM LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
001765
CT
Other
Enumeration date
10/18/2006
Last updated
12/05/2008
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