Individual
CHRISTIN CORAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1590 N MAIN ST, MARION, VA 24354-4455
(276) 783-7499
Mailing address
770 W RIDGE RD, WYTHEVILLE, VA 24382-1187
(276) 223-3200
(276) 223-0617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904012548
VA
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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