Individual
KRISTIN KATHLEEN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
ONE CHOCTAW WAY, BEHAVIORAL HEALTH, TALIHINA, OK 74571
(918) 567-3065
(918) 567-3917
Mailing address
1 CHOCTAW WAY, BEHAVIORAL HEALTH, TALIHINA, OK 74571
(918) 567-3065
(918) 567-3917
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6809
OK
Other
Enumeration date
06/03/2019
Last updated
11/27/2023
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