Individual
AMY LYNN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
301 JUSTICE LN, BUNNELL, FL 32110-4487
(386) 236-3126
Mailing address
301 JUSTICE LN, BUNNELL, FL 32110-4487
(386) 236-3126
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW22651
FL
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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