Individual
POLLY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6736 DURWOOD LN, DUBLIN, OH 43016-6410
(614) 530-0294
Mailing address
6736 DURWOOD LN, DUBLIN, OH 43016-6410
(614) 530-0294
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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