Individual
DEVIN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2269 SMITH RD, CLOVER, SC 29710-8659
(803) 367-6477
Mailing address
2269 SMITH RD, CLOVER, SC 29710-8659
(803) 367-6477
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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