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Individual

MARION B LONGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNS, RN

Contact information

Practice address
67 UNION ST, NATICK, MA 01760-7700
(508) 650-7380
Mailing address
67 UNION ST, NATICK, MA 01760-7700
(508) 650-7380

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN111534
MA

Other

Enumeration date
06/25/2010
Last updated
06/25/2010
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