Organization
S ANN LONG TRAUMA THERAPIST COLLECTIVE PLC
Active
Organization
S ANN LONG TRAUMA THERAPIST COLLECTIVE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S ANN LONG LISW (THERAPY SOLE MBR)
(319) 321-4564
Entity
Organization
Contact information
Practice address
12 GREEN MOUNTAIN DR APT 7, IOWA CITY, IA 52245-3814
(319) 321-4564
Mailing address
12 GREEN MOUNTAIN DR APT 7, IOWA CITY, IA 52245-3814
(319) 321-4564
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/25/2023
Last updated
01/09/2024
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