Individual
JORDAN CLAIRE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1720 GROVE ST, MARYSVILLE, WA 98270-4328
(425) 405-2216
Mailing address
1720 GROVE ST, MARYSVILLE, WA 98270-4328
(425) 405-2216
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60951865
WA
Other
Enumeration date
06/27/2022
Last updated
09/29/2024
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