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.
- City
- Warwick
- State
- Rhode Island
- ZIP Code
- 02889-5047
- Phone
- (401) 732-5200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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