Individual
DENISE MICHELLE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10555 MONTGOMERY BLVD NE BLDG 2, ALBUQUERQUE, NM 87111-3857
(505) 503-7946
Mailing address
6147 CYONUS AVE NW, ALBUQUERQUE, NM 87114-4015
(505) 818-9741
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-10104
NM
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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