Individual
RAYMOND B. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
NORTHEAST OF BASHAS', DILKON, AZ 86047
(928) 657-8000
Mailing address
PO BOX 7072, WINSLOW, AZ 86047-7072
(928) 657-8000
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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