Individual
JAHUAN K LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1414 SW 89TH ST STE B, OKLAHOMA CITY, OK 73159-6312
(405) 676-5313
(405) 237-3440
Mailing address
1414 SW 89TH ST STE B, OKLAHOMA CITY, OK 73159-6312
(405) 676-5313
(405) 237-3440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20882
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/02/2019
Last updated
07/24/2024
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