Samuel Robert Long, LISW

NPI #1821587395 in Moraine, Ohio

Provider Information

NPI Number
1821587395
Entity Type
Individual
Name
Samuel Robert Long, LISW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LISW
Enumeration Date
May 9, 2018
Last Updated
Mar 2, 2025

Practice Location

Address
5350 LAMME RD
State
Ohio
ZIP Code
45439-3215
Phone
(937) 534-4627

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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