Individual
BENJAMIN E. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
725 YOKUM ST, ELKINS, WV 26241-3353
(304) 636-3232
(304) 636-9243
Mailing address
RR 1 BOX 55C, FRENCH CREEK, WV 26218-9713
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00940845
WV
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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