Individual
MRS. HARRIET JOHNSON LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 N EUGENE ST, GREENSBORO, NC 27401-2221
(336) 641-3630
(336) 641-3580
Mailing address
4306 MATHEWS LANE, GREENSBORO, NC 27405
(336) 641-3630
(336) 641-3580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39833
NC
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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