Individual
CONNIE ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2727 MLK BLVD, EUGENE, OR 97401-5901
(541) 682-7948
Mailing address
2727 MLK BLVD, EUGENE, OR 97401-5901
(541) 682-7948
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/26/2014
Last updated
01/11/2024
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