Individual
ROBERT LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 CORAL GABLES DR, LAVALLETTE, NJ 08735-3019
(732) 814-5875
Mailing address
404 CORAL GABLES DR, LAVALLETTE, NJ 08735-3019
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00120900
NJ
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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