Individual
MRS. LAURA SUSAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
425 ISLAND FORD RD., MADISONVILLE, KY 42431-4243
(270) 825-0166
Mailing address
4120 BROWN RD, MADISONVILLE, KY 42431-8075
(270) 339-2183
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
KY
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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