Individual
MARCIA GAIL LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
1001 WASHINGTON ST, SUITE 8, EUGENE, OR 97401-3419
(541) 510-0009
(541) 654-5489
Mailing address
3980 MILL ST, EUGENE, OR 97405-3951
(541) 510-0009
(541) 654-5489
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4732
OR
Other
Enumeration date
06/11/2007
Last updated
09/13/2012
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