Individual
PAMELA CARLSON LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2550 MIDDLE RD STE 602, BETTENDORF, IA 52722-3289
(563) 265-1529
Mailing address
2706 N FILLMORE ST, DAVENPORT, IA 52804-1833
(309) 714-1520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
080434
IA
1041C0700X
Clinical Social Worker
149002897
IL
Other
Enumeration date
04/25/2023
Last updated
04/28/2023
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