Wanda Michelle Long, LCSW

NPI #1730661935 in Crestview, Florida

Provider Information

NPI Number: 1730661935
Entity Type: Individual
Name: Wanda Michelle Long, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Sep 4, 2018
Last Updated: Sep 4, 2018

Practice Location

Address: 259 E OAKDALE AVE
City: Crestview
State: Florida
ZIP Code: 32539-3547
Phone: (850) 682-1234

Specialties & Taxonomy Codes

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

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