Susan Maylea Long
Counselor, Professional in Sylvania, OH. Individual provider (NPI-1).
NPI number1669989331
StatusActive
Last updated in NPPESJan 4, 2018
Details
- NPI
- 1669989331
- Entity type
- Individual (NPI-1)
- Name
- Susan Maylea Long
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2018
- Last updated
- Jan 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 1400114 | OH | Yes |
Practice location
5600 Monroe StSylvania, OH 43560-2731
Phone 419-885-1910 · Fax 410-885-5060
Mailing address
5600 Monroe StSylvania, OH 43560-2731
Phone 419-885-1910 · Fax 410-885-5060
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