Connie Mortensen Long, LICSW

NPI #1669618435 in Ramsey, Minnesota

Provider Information

NPI Number
1669618435
Entity Type
Individual
Name
Connie Mortensen Long, LICSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Dec 30, 2008
Last Updated
Dec 30, 2008

Practice Location

Address
15779 OKAPI ST NW
City
Ramsey
ZIP Code
55303-3878
Phone
(763) 323-9511

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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