Individual
MS. MADILYN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4233 SE 33RD PL, PORTLAND, OR 97202-3446
(971) 264-0944
(503) 594-2308
Mailing address
4233 SE 33RD PL, PORTLAND, OR 97202-3446
(971) 264-0944
(503) 594-2308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/13/2018
Last updated
03/08/2022
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