Individual
MRS. JOY ELIZABETH LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 729-3100
Mailing address
PO BOX 2759, APPLETON, WI 54912-2759
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2723-154
WI
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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