Krista Long

NPI #1538824073 in Buffalo, Wyoming

Provider Information

NPI Number
1538824073
Entity Type
Individual
Name
Krista Long
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Oct 31, 2021
Last Updated
Oct 31, 2021

Practice Location

Address
172 GLENCOE WAY
State
Wyoming
ZIP Code
82834-9389
Phone
(307) 620-9562

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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