Individual
CALLIE REALTA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18 CHURCH ST, NORTH ATTLEBORO, MA 02760-1625
(508) 566-2636
Mailing address
PO BOX 9120, CHELSEA, MA 02150-9120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
226244
MA
Other
Enumeration date
05/15/2018
Last updated
02/01/2024
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