Individual
MRS. ABAGAILE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
512 MAXWELL AVE, CINCINNATI, OH 45219-2408
(859) 872-1159
Mailing address
512 MAXWELL AVE, CINCINNATI, OH 45219-2408
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.1601104
OH
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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