Individual
ERIN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8349 COOPER RD, KENOSHA, WI 53142-4823
(262) 939-7836
Mailing address
8349 COOPER RD, KENOSHA, WI 53142-4823
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
12890-123
WI
Other
Enumeration date
07/14/2023
Last updated
04/08/2026
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