Individual
LINDSAY M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1415 S HWY 89, JACKSON, WY 83001
(307) 739-8999
(307) 739-9222
Mailing address
625 E BROADWAY AVE BOX 428, JACKSON, WY 83001-0428
(307) 733-3636
(888) 329-5701
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LCSW-951
WY
1041C0700X
Clinical Social Worker
Primary
LCSW-951
WY
171M00000X
Case Manager/Care Coordinator
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136295001
—
WY
Enumeration date
10/10/2013
Last updated
02/15/2021
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