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Individual

DANIELLE BRIANNE LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2479 ALOMA AVE, WINTER PARK, FL 32792-2541
(850) 348-6122
Mailing address
4206 EASTGATE DR APT 1207, ORLANDO, FL 32839-2808
(850) 348-6122

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
10/27/2019
Last updated
10/27/2019
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