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NPI Profile for KATHLEEN J WARNER LONG in DODGE CITY, KS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI # | 1881710879 |
|
| Status | Active | |
| Credentials | MED, LCPC | |
| Entity | Individual | |
| Enumeration date | 03/21/2007 | |
| Last updated | 08/29/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KATHLEEN J WARNER LONG
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KATHLEEN J WARNER LONG, MED, LCPC