Rebecca Jolene Long

NPI #1427738509 in Payette, Idaho

Provider Information

NPI Number: 1427738509
Entity Type: Individual
Name: Rebecca Jolene Long
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 24, 2023
Last Updated: Jul 24, 2023

Practice Location

Address: 250 S MAIN ST
City: Payette
State: Idaho
ZIP Code: 83661-2853
Phone: (208) 405-0020

Specialties & Taxonomy Codes

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

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