Individual
MRS. CANDICE E. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505-9009
(859) 254-1035
Mailing address
1101 BEAUMONT CENTRE LN APT 7207, LEXINGTON, KY 40513-1763
(219) 688-4064
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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