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Individual

MS. SUSAN ELIZABETH LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC, NP, APRN

Contact information

Practice address
28 WHITING ST UNIT 337, ACCORD, MA 02018-0059
(781) 374-4100
Mailing address
28 WHITING ST UNIT 337, ACCORD, MA 02018-0059
(781) 374-4100

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4054
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
267712
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1854986
MA
Enumeration date
09/14/2006
Last updated
05/06/2025
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