Individual
MARY CATHERINE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1709 WOODVIEW CIR, PELHAM, AL 35124-1021
(205) 541-3679
(205) 444-9190
Mailing address
1709 WOODVIEW CIR, PELHAM, AL 35124-1021
(205) 541-3679
(205) 444-9190
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
11003RE
GA
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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