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Individual

RUTH ANN LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-S

Contact information

Practice address
2217 MARTIN DR, SUITE 200, BEDFORD, TX 76021-6247
(817) 358-6997
(817) 358-6980
Mailing address
2217 MARTIN DR, SUITE 200, BEDFORD, TX 76021-6247
(817) 358-6997
(817) 358-6980

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
62237
TX

Other

Enumeration date
01/23/2014
Last updated
01/23/2014
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