Organization
LONG TERM HEALING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE PURA LONG LICSW (OWNER)
(036) 310-8030
Entity
Organization
Contact information
Practice address
501 SOUTH ST, BOW, NH 03304-3416
(603) 310-8030
Mailing address
36 LEATHERSTOCKING LN, GILMANTON, NH 03237-5030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
07/10/2024
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