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Individual

ANDREW LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6100 N KEYSTONE AVE STE 420, INDIANAPOLIS, IN 46220-2892
(317) 296-4914
(317) 713-0177
Mailing address
104 BRIERLEY WAY, CARMEL, IN 46032-1852
(317) 205-4687
(317) 713-0177

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/27/2018
Last updated
06/27/2018
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