Individual
CHRISTY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
213 3RD ST, JUNEAU, AK 99801-1220
(907) 586-8228
Mailing address
PO BOX 21396, JUNEAU, AK 99802-1396
(907) 500-2321
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CMG 127
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68
—
AK
Enumeration date
05/19/2011
Last updated
05/19/2011
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