Individual
COURTNEY J LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
88 LINCOLN ST, FRAMINGHAM, MA 01702-6354
(508) 620-0010
(508) 626-7625
Mailing address
191 S QUINSIGAMOND AVE, SHREWSBURY, MA 01545-4431
(978) 317-8867
(508) 626-7625
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
410052
MA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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