Individual
MS. MADELINE M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1450 E BOOT RD, .SUITE 500-D, WEST CHESTER, PA 19380-5300
(610) 357-0252
Mailing address
1450 E BOOT RD, .SUITE 500-D, WEST CHESTER, PA 19380-5300
(610) 357-0252
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000111
PA
Other
Enumeration date
05/18/2007
Last updated
03/07/2012
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