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Individual

KIANNA LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
876 W FARIS RD, GREENVILLE, SC 29605-4253
(864) 455-5994
Mailing address
1000 SUMMERSWEET PL APT 1200, SIMPSONVILLE, SC 29681-2822

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17325
SC

Other

Enumeration date
10/10/2025
Last updated
10/10/2025
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