Eileen Long, LCSW
NPI #1053764480 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1053764480
- Entity Type
- Individual
- Name
- Eileen Long, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jul 20, 2016
- Last Updated
- Jul 20, 2016
Practice Location
- Address
- 1001 SOUTHWEST BLVD
- Address 2
- STE. F
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109-2501
- Phone
- (573) 424-1108
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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