Individual
MAYA JANE LONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
536 W BELMONT AVE APT 1W, CHICAGO, IL 60657-6838
(248) 565-7715
Mailing address
1402 N PLEASANT ST, ROYAL OAK, MI 48067-4335
(248) 565-7715
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.116702
IL
Other
Enumeration date
05/24/2025
Last updated
05/24/2025
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