Individual
KASEY LYNN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
429 S NEW ST, DOVER, DE 19904-6715
(302) 504-8500
(302) 306-6261
Mailing address
93 DUTCHMAN DR, FELTON, DE 19943-6122
(302) 233-2077
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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