Individual
KATHRYN M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2052 PRINCETON RD, FAIRFIELD TOWNSHIP, OH 45011-4746
(513) 863-6383
(513) 863-9882
Mailing address
1020 SYMMES RD, FAIRFIELD, OH 45014-1844
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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