Individual
JARIUS T LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1715 N GRANVILLE AV MUNCIE IN 47303, MUNCIE STE C, MUNCIE, IN 47303
(765) 212-6195
Mailing address
901 N. BLAINE ST, MUNCIE, MUNCIE, IN 47303
(765) 716-1556
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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