MRS. Carolyn Tyrease Long-Bane, LCSW

NPI #1215028741 in Wake Forest, North Carolina

Provider Information

NPI Number
1215028741
Entity Type
Individual
Name
MRS. Carolyn Tyrease Long-Bane, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Sep 28, 2006
Last Updated
Oct 23, 2018

Practice Location

Address
1906 S MAIN ST STE 120
ZIP Code
27587-5033
Phone
(919) 562-1080

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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