Individual
ALYSSA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606A W KIMBERLY CT, CLEVER, MO 65631-7802
(903) 920-6477
Mailing address
606A W KIMBERLY CT, CLEVER, MO 65631-7802
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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