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Individual

CHRISTOPHER LONGORIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1518 YORKSHIRE DR, ELIZABETHTOWN, KY 42701-9191
(270) 594-1199
Mailing address
1002 N MULBERRY ST, ELIZABETHTOWN, KY 42701-2037
(270) 982-9292
(270) 982-9293

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
7353
KY
1041C0700X
Clinical Social Worker
Primary
253123
KY

Other

Enumeration date
01/11/2016
Last updated
06/02/2022
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