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Individual

EMILY MARIE LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
5 REVERE DR STE 100, NORTHBROOK, IL 60062-1567
(800) 736-3739
Mailing address
5 REVERE DR STE 100, NORTHBROOK, IL 60062-1567
(800) 736-3739

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150.105057
IL

Other

Enumeration date
06/07/2022
Last updated
06/07/2022
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