Individual
EMILY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
322 2ND AVE, SIDNEY, OH 45365-1263
(937) 710-4616
Mailing address
551 STONECASTLE CT, SIDNEY, OH 45365-3610
(614) 530-3396
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1801903
OH
1041C0700X
Clinical Social Worker
Primary
1.2103237
OH
Other
Enumeration date
07/16/2018
Last updated
12/08/2021
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