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Individual

JULIE ANN LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
112 SYLVAN DR, BROOMALL, PA 19008-1233
(484) 802-8574
Mailing address
112 SYLVAN DR, BROOMALL, PA 19008-1233
(484) 802-8574

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL014197
PA

Other

Enumeration date
07/17/2020
Last updated
07/17/2020
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