Individual
DR. LYNN DARLENE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
148 ROBINSON ST, FORKSTON TOWNSHIP, PA 18629-5045
(570) 240-3684
Mailing address
148 ROBINSON ST, FORKSTON TOWNSHIP, PA 18629-5045
(570) 240-3684
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
SW128735
PA
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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