Individual
MCKENNA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 HATCHER LN STE A, CLARKSVILLE, TN 37043-5921
(629) 216-2007
Mailing address
2400 SCIENCE PKWY, OKEMOS, MI 48864-2560
(517) 374-8066
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
04/15/2024
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