Individual
MS. DEBRA MOFFAT LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
3300 WASHTENAW AVE STE 222, ANN ARBOR, MI 48104-4261
(734) 203-0183
(734) 203-7816
Mailing address
2727 JENNINGS RD, WHITMORE LAKE, MI 48189-9266
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801063769
MI
Other
Enumeration date
08/04/2006
Last updated
06/11/2024
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