Individual
SHAE LYNN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 E OXFORD RD, MINOT, ME 04258-5452
(207) 513-2288
Mailing address
130 E OXFORD RD, MINOT, ME 04258-5452
(207) 513-2288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC19812
ME
Other
Enumeration date
05/29/2020
Last updated
01/16/2025
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