Individual
MISS JADA ALEXIS LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8530 FM 1960 RD E STE 214, HUMBLE, TX 77346-1831
(346) 297-0405
Mailing address
5919 STIRRING WINDS LN, HOUSTON, TX 77086-2943
(346) 814-5858
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111231
TX
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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