Individual
AMY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LSW
Contact information
Practice address
1709 JUMER DR STE A, BLOOMINGTON, IL 61704-0914
(872) 239-8292
Mailing address
621 ORLANDO AVE APT 101, NORMAL, IL 61761-6019
(765) 585-4812
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.107177
IL
Other
Enumeration date
05/19/2025
Last updated
08/14/2025
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