MRS. Lisa Marie Longo, MAED/WSC

NPI #1902813819 in Lehigh Acres, Florida

Provider Information

NPI Number: 1902813819
Entity Type: Individual
Name: MRS. Lisa Marie Longo, MAED/WSC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: MAED/WSC
Enumeration Date: Aug 2, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 814 DESOTO AVE
City: Lehigh Acres
State: Florida
ZIP Code: 33936-8113
Phone: (239) 303-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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