Individual
MRS. COREY LYNN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
543 NORTH ST, NEW BEDFORD, MA 02740-2766
(508) 984-5566
(508) 994-5527
Mailing address
70 WAREHAM LAKE SHORE DR, EAST WAREHAM, MA 02538-1429
(508) 291-9946
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1028753
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO7323
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/17/2007
Last updated
07/08/2007
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