Organization
HOPE CHEST TIKKUN OLAM CENTER LLC
Active
Other names
Hope Chest Tikkun Olam Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA N LONG BSW. MSW, LSW (THERAPIST)
(765) 717-1403
Entity
Organization
Contact information
Practice address
1715 N GRANVILLE AVE STE C, MUNCIE, IN 47303-2149
(765) 717-1403
Mailing address
1715 N GRANVILLE AVE STE C, MUNCIE, IN 47303-2149
(765) 749-7300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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