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Individual
DR. LESLIE A LONGO
Active
Individual
DR. LESLIE A LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., P.C.C.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0500230
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386571
ANTHEM INSURANCE
OH
01
—
834979000
MAGELLAN INSURANCE
OH
Enumeration date
01/10/2007
Last updated
07/17/2008
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