Individual
ANGELA LONGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
G3169 BEECHER RD, FLINT, MI 48532-3611
(810) 237-0799
Mailing address
PO BOX 289, MASON, MI 48854-0289
(517) 676-5405
(517) 676-5460
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802090601
MI
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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