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Individual

DEBORAH LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
700 SAYRE AVE, PHILLIPSBURG, NJ 08865-3326
(908) 454-2074
Mailing address
319 MAPLE ST, ATTN AVAZQUEZ, PERTH AMBOY, NJ 08861-4101
(732) 324-8200

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05263900
NJ

Other

Enumeration date
10/10/2007
Last updated
10/10/2007
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