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Individual

MRS. RACHEL LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
805 W. JACKSON, MCALESTER, OK 74501
(918) 916-1536
Mailing address
805 W JACKSON AVE, MCALESTER, OK 74501-4041
(918) 916-1536

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
10/15/2010
Last updated
09/29/2011
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