Individual
THOMAS LONGENECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
960 CENTURY DR, FLS, MECHANICSBURG, PA 17055-4374
(717) 795-0330
Mailing address
463 LOVELL CT, HUMMELSTOWN, PA 17036-9154
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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