Individual
TREVOR LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TLLP
Contact information
Practice address
G3169 BEECHER RD, SUITE 203, FLINT, MI 48532-3611
(810) 237-0799
(517) 676-5460
Mailing address
G3169 BEECHER RD, SUITE 203, FLINT, MI 48532-3611
(810) 237-0799
(517) 676-5460
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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