Individual
MRS. PAT LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.W.
Contact information
Practice address
1100 SE FEDERAL HWY, STUART, FL 34994-3823
(772) 320-0770
(772) 320-0181
Mailing address
1100 SE FEDERAL HWY, STUART, FL 34994-3823
(772) 320-0770
(772) 320-0181
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912987100
—
FL
Enumeration date
02/11/2015
Last updated
02/11/2015
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