Individual
GINA LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
268 HARTFORD TPKE, A10, TOLLAND, CT 06084-2834
(860) 985-9162
Mailing address
268 HARTFORD TPKE, A10, TOLLAND, CT 06084-2834
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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