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Individual
JENNA-ANN LORRAINE LONG
Active
Individual
JENNA-ANN LORRAINE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
103387
TX
1041C0700X
Clinical Social Worker
C012923
NC
1041C0700X
Clinical Social Worker
Primary
P011993
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103387
LCSW
TX
01
—
C012923
LCSW
NC
Enumeration date
10/18/2017
Last updated
12/14/2022
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