Kathlyn Long, CADC

NPI #1558735464 in Fox Lake, Illinois

Provider Information

NPI Number: 1558735464
Entity Type: Individual
Name: Kathlyn Long, CADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: CADC
Enumeration Date: Nov 17, 2015
Last Updated: Nov 17, 2015

Practice Location

Address: 34 RIVERVIEW AVE
City: Fox Lake
State: Illinois
ZIP Code: 60020-1473
Phone: (815) 527-1448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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