Individual
JANICE M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2 WALL ST, SUITE 300, MANCHESTER, NH 03101-1518
(603) 668-4111
(603) 628-7757
Mailing address
401 CYPRESS ST, MANCHESTER, NH 03103-3628
(603) 668-4111
(603) 628-7757
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
533
NH
1041C0700X
Clinical Social Worker
Primary
533
NH
Other
Enumeration date
06/22/2006
Last updated
06/03/2016
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