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Individual

MRS. LISA MARIE LONGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MAED/WSC

Contact information

Practice address
814 DESOTO AVE, LEHIGH ACRES, FL 33936-8113
(239) 303-2900
(239) 303-2909
Mailing address
814 DESOTO AVE, LEHIGH ACRES, FL 33936-8113
(239) 303-2900
(239) 303-2909

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
682566496
FL
Enumeration date
08/02/2006
Last updated
04/08/2026
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