Michel Larayne Long, LCSW
NPI #1083040489 in Hurlburt Field, Florida
Provider Information
- NPI Number
- 1083040489
- Entity Type
- Individual
- Name
- Michel Larayne Long, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- LCSW
- Enumeration Date
- Sep 18, 2013
- Last Updated
- May 31, 2022
Practice Location
- Address
- 113 LIELMANIS AVE
- City
- Hurlburt Field
- State
- Florida
- ZIP Code
- 32544-5613
- Phone
- (850) 461-5651
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
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