Individual
SCOTT ANTHONY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9991
(304) 263-0811
(304) 262-1417
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9991
(304) 263-0811
(304) 262-1417
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
090402
IA
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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