Individual
CHERITA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8555 CEDAR PLACE DR STE 112, INDIANAPOLIS, IN 46240-2344
(317) 750-5189
Mailing address
PO BOX 7072, FISHERS, IN 46038-7072
(317) 656-7090
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
IN
Other
Enumeration date
03/22/2019
Last updated
06/11/2019
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