Individual
KAITLYN ELIZABETH LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1127 ROUTE 47 S STE 9, RIO GRANDE, NJ 08242-1609
(609) 486-2003
Mailing address
1127 ROUTE 47 S STE 9, RIO GRANDE, NJ 08242-1609
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06532700
NJ
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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