Individual
MRS. EMILY SIMONE' LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED CCC-SLP
Contact information
Practice address
30 OAK RIDGE CIR, RINCON, GA 31326-8810
(770) 653-2746
Mailing address
30 OAK RIDGE CIR, RINCON, GA 31326-8810
(770) 653-2746
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007193
GA
Other
Enumeration date
11/05/2009
Last updated
05/14/2012
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