Mr. Darian Wade Long I
Mr. Darian Wade Long I is a Peer Specialist in Kennett, Missouri. Licensed in Missouri. Registered with an NPI since 2014.
- Licensed in
- MO
- In the registry since
- 2014
Practice location Address checks out
925 Highway VvKennett, MO 63857
Phone: (573) 888-5925
Fax: (573) 888-9365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 8162 (MO) |
|---|
Record details
| NPI number | 1912303405 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 10, 2014 |
| Last updated in NPPES | November 10, 2014 |
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