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Individual

ANDREA LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4161 CARMICHAEL AVE, 3300 BUILDING, SUITE 150, JACKSONVILLE, FL 32207-2353
(904) 396-8750
Mailing address
4161 CARMICHAEL AVE, 3300 BUILDING, SUITE 150, JACKSONVILLE, FL 32207-2353
(904) 396-8750

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
07/05/2011
Last updated
03/26/2014
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