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John Long
NPI 1497027163 · on the registry since 2012
Practice
- Address
- 628 W Broadway St
Suite 300
North Little Rock, AR 72114 - Phone
- (501) 372-4242
- Organisation at this address
- Family Service Agency,Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-27
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 Arkansas