Individual
CAROLINE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 LIBERTY LN, EDMOND, OK 73034-9046
(405) 726-8966
Mailing address
525 LIBERTY LN, EDMOND, OK 73034-9046
(405) 726-8966
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/30/2020
Last updated
01/11/2022
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