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Individual

LAUREN LEA LONGWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA LPC LBSW

Contact information

Practice address
1020 MILLARD STREET, COMMUNITY HEALING CENTERS, THREE RIVERS, MI 49093
(269) 279-5187
(269) 273-2083
Mailing address
322 PORTAGE AVE, THREE RIVERS, MI 49093
(269) 273-7562

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401005632
MI
101Y00000X
Counselor
6802063317
MI

Other

Enumeration date
05/22/2007
Last updated
07/08/2007
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