Individual
MARGARET LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3212 SW 62ND ST, OKLAHOMA CITY, OK 73159-1208
(405) 885-5101
Mailing address
3212 SW 62ND ST, OKLAHOMA CITY, OK 73159-1208
(405) 885-5101
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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