W. Michelle Long, Lcsw, Professional Limited Liability Company

NPI #1366121840 in Crestview, Florida

Provider Information

NPI Number: 1366121840
Entity Type: Organization
Organization Name: W. Michelle Long, Lcsw, Professional Limited Liability Company
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 12, 2023
Last Updated: Jul 12, 2023

Practice Location

Address: 502 E 2ND AVE
City: Crestview
State: Florida
ZIP Code: 32536
Phone: (850) 547-6922

Authorized Official

Name: WANDA MICHELLE LONG, LCSW
Title: LCSW
Phone: (850) 547-6922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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