Individual
MS. AMINAH J LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
4607 69TH AVE, HYATTSVILLE, MD 20784-2123
(301) 925-9120
(301) 386-0018
Mailing address
12212 WYNMORE LN, BOWIE, MD 20715-1282
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13444
MD
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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