Octavis Laquan Long
NPI #1356129217 in East Lansing, Michigan
Provider Information
- NPI Number
- 1356129217
- Entity Type
- Individual
- Name
- Octavis Laquan Long
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Enumeration Date
- Sep 20, 2023
- Last Updated
- Sep 20, 2023
Practice Location
- Address
- 715 BUTEO DR
- City
- East Lansing
- State
- Michigan
- ZIP Code
- 48823-8304
- Phone
- (517) 614-5200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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