Individual
INGRID LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
180 10TH ST SE STE 201, LE MARS, IA 51031-2557
(712) 546-4624
(712) 546-9395
Mailing address
180 10TH ST SE STE 201, PO BOX 70, LE MARS, IA 51031-2557
(712) 546-4624
(712) 546-9395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
080125
IA
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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