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Organization
PERSOMA PC
Active
Organization
PERSOMA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R. LONG PHD (PRESIDENT)
(412) 823-5155
Entity
Organization
Contact information
Practice address
2540 MONROEVILLE BLVD, MONROEVILLE, PA 15146-2329
(412) 823-5155
(412) 823-8262
Mailing address
2540 MONROEVILLE BLVD, MONROEVILLE, PA 15145-2329
(412) 823-5155
(412) 823-8262
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW01689
PA
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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