Individual
MR. GRIFFIN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
15550 DURSTINE RD, DUNDEE, OH 44624-9428
(330) 359-6100
Mailing address
PO BOX 265, MOUNT EATON, OH 44659-0265
(330) 359-6100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1600257
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/17/2012
Last updated
06/23/2016
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