Individual
MR. GEORGE A LONGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
322 NW F ST, GRANTS PASS, OR 97526-2052
(541) 476-4248
(541) 476-0288
Mailing address
322 NW F ST, GRANTS PASS, OR 97526-2052
(541) 476-4248
(541) 476-0288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1385
OR
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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