Jo Mary Long, LICSW

NPI #1528157443 in Westport, Massachusetts

Provider Information

NPI Number
1528157443
Entity Type
Individual
Name
Jo Mary Long, LICSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Oct 11, 2006
Last Updated
Apr 2, 2018

Practice Location

Address
519 AMERICAN LEGION HWY
Address 2
STE 2
ZIP Code
02790-4100
Phone
(508) 636-6423

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Social Worker - ClinicalClinical

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