Individual
MARGARET LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1940 TICE VALLEY BLVD, SUITE C, WALNUT CREEK, CA 94595-2229
(925) 988-0569
Mailing address
1940 TICE VALLEY BLVD, SUITE C, WALNUT CREEK, CA 94595-2229
(925) 988-0569
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
27854
CA
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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