Individual
MS. BARBARA MAE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DEVELOPMENTAL THERAP
Contact information
Practice address
634 E ASH ST, CANTON, IL 61520-2016
(309) 647-9744
(309) 647-4394
Mailing address
1148 S MAIN ST, CANTON, IL 61520-3426
(309) 647-9744
(309) 647-4394
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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