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Carol Long
NPI 1093172108 · on the registry since 2016 · sole proprietor
Practice
- Address
- 18404 51st Ave
Chippewa Falls, WI 54729 - Phone
- (715) 720-7794
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin