Individual
LISA MICHELE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
246 HAMPSHIRE DR, BRANSON, MO 65616-3486
(417) 332-5339
Mailing address
246 HAMPSHIRE DR, BRANSON, MO 65616-3486
(417) 332-5339
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
23720
AZ
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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