Angela Long
Angela Long is a Counselor in Grandville, Michigan. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3584 Fairlanes Ave SW Ste 2Grandville, MI 49418-1583
Phone: (616) 222-5300
Fax: (616) 531-0447
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1386217826 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 22, 2021 |
| Last updated in NPPES | July 22, 2021 |
| Certification date | July 22, 2021 |
| Mailing address | 3584 Fairlanes Ave Sw Ste 2, Grandville, MI 49418-1583 |
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