Individual
RASHEDA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
629 KENNAN RD NW, HUNTSVILLE, AL 35811
(256) 743-3003
Mailing address
9032A MEMORIAL PKWY SW # 1192, HUNTSVILLE, AL 35802-3027
(256) 743-3003
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
4781C
AL
1041C0700X
Clinical Social Worker
7878
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
08/11/2016
Last updated
08/12/2022
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