Individual
CELSIE ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
7300 S RAEFORD RD, FAYETTEVILLE, NC 28304-6162
(910) 288-2120
Mailing address
VA SALT LAKE CITY 500 FOOTHILL DR BLDG 16, SALT LAKE CITY, UT 84148-0001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12278175-3502
UT
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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