Individual
ALONDA SHANTEL LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5665 HOOVER RD., GROVE CITY, OH 43123
(614) 539-6558
Mailing address
2241 OWL ST, GROVE CITY, OH 43123-8493
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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