Individual
MADISON LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 HELMSDALE PL APT 11106, LEXINGTON, KY 40509-2532
(859) 388-9777
Mailing address
2250 THUNDERSTICK DR, LEXINGTON, KY 40505-9010
(859) 388-9777
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
KY
1041C0700X
Clinical Social Worker
259415
KY
Other
Enumeration date
02/10/2022
Last updated
01/15/2025
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