Individual
MR. JOHN ROGER LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
600 S 70TH ST, LINCOLN, NE 68510-2451
(402) 489-3802
(402) 486-7872
Mailing address
600 S 70TH ST, LINCOLN, NE 68510-2451
(402) 489-3802
(402) 486-7872
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-0131
AZ
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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