Individual
RACHEL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCSW
Contact information
Practice address
PO BOX 2019, JACKSON, WY 83001-2019
(690) 318-0307
Mailing address
PO BOX 2019, JACKSON, WY 83001-2019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-1207
WY
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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