Ellen Marie Long, LCSW, CDP

NPI #1285415059 in Venice, Florida

Provider Information

NPI Number
1285415059
Entity Type
Individual
Name
Ellen Marie Long, LCSW, CDP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW, CDP
Enumeration Date
Oct 9, 2023
Last Updated
Jan 10, 2025

Practice Location

Address
302 FALLS OF VENICE CIR
City
Venice
State
Florida
ZIP Code
34292-3979
Phone
(904) 607-0160

Specialties & Taxonomy Codes

Specialty
Social Worker
Social Worker - ClinicalClinical

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