Individual
EREA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5630 CHRISTIAN RIDGE CT, LOUISVILLE, KY 40258-3239
(502) 627-0377
Mailing address
5630 CHRISTIAN RIDGE CT, LOUISVILLE, KY 40258-3239
(502) 627-0377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
259866
KY
Other
Enumeration date
12/13/2019
Last updated
04/08/2025
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