Individual
KATHLYN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
34 RIVERVIEW AVE, FOX LAKE, IL 60020-1473
(815) 527-1448
Mailing address
34 RIVERVIEW AVE, FOX LAKE, IL 60020-1473
(815) 527-1448
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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