Individual
MS. DELEEN MARIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14520 DETROIT AVE, LAKEWOOD, OH 44107-4317
(216) 470-8244
Mailing address
14520 DETROIT AVE, LAKEWOOD, OH 44107-4317
(216) 470-8244
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.018906
OH
374J00000X
Doula
—
—
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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