MR. Timothy Richard Long, LICSW

NPI #1114979986 in Warwick, Rhode Island

Provider Information

NPI Number
1114979986
Entity Type
Individual
Name
MR. Timothy Richard Long, LICSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
May 17, 2006
Last Updated
Nov 9, 2007

Practice Location

Address
160 DRAPER AVE
Address 2
C/O CHILD INC.
ZIP Code
02889-5047
Phone
(401) 732-5200

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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