Individual
ALICIA M LONGMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
5800 MONROE ST STE A1, SYLVANIA, OH 43560-2208
(419) 517-7073
(419) 517-0122
Mailing address
5800 MONROE ST STE A1, SYLVANIA, OH 43560-2208
(419) 517-7073
(419) 517-0122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1801377
OH
Other
Enumeration date
01/28/2020
Last updated
03/02/2023
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