Individual
ADDISON LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5800 W 10TH ST STE 600, LITTLE ROCK, AR 72204-1761
(501) 660-6817
(501) 660-6825
Mailing address
PO BOX 251970, LITTLE ROCK, AR 72225-1970
(501) 666-8686
(501) 660-6830
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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