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Individual

JESSICA LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
14330 SE 312TH DR, BORING, OR 97009-8020
(503) 215-9843
Mailing address
14330 SE 312TH DR, BORING, OR 97009-8020
(925) 337-1723

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6711
OR

Other

Enumeration date
06/02/2016
Last updated
03/09/2025
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