Individual
MS. JULIE STEVENS LONG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
104 S MCKINLEY, SUITE D, UNION, MO 63084
(636) 583-7738
(636) 583-6745
Mailing address
PO BOX 700, UNION, MO 63084
(636) 583-7738
(636) 583-6745
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2000170897
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157940
BLUE CROSS BLUE SHIELD
MO
Enumeration date
04/27/2006
Last updated
07/08/2007
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