Individual
MRS. JAMEY LEEANNE LONG-RISLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
308 OWEN AVE, LANSDOWNE, PA 19050-1032
(973) 930-1826
Mailing address
308 OWEN AVE, LANSDOWNE, PA 19050-1032
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
SW125939
PA
104100000X
Social Worker
SW125939
PA
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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