Individual
FLORENCE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 S. BROADWAY, SUITE 200, ADA, OK 74820-5825
(580) 332-3001
Mailing address
125 S BROADWAY AVE, SUITE 200, ADA, OK 74820-5801
(580) 332-3001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/20/2011
Last updated
08/28/2014
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