Individual
CARMELLA M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
3707 MOHAWK AVE, GWYNN OAK, MD 21207-7668
(313) 850-7119
Mailing address
3707 MOHAWK AVE, GWYNN OAK, MD 21207-7668
(313) 850-7119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18352
MD
Other
Enumeration date
02/21/2011
Last updated
08/05/2021
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