Individual
MRS. ADRIENNE SUSAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED
Contact information
Practice address
401 HOLSTON DR, NOLA CHUCKEY, GREENEVILLE, TN 37743-3127
(423) 639-1100
(423) 639-7045
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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