Individual
MS. ELIZABETH DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
23836 SW FOX RUN PL., SHERWOOD, OR 97140
(503) 521-6122
(503) 397-5373
Mailing address
23836 SW FOX RUN PL., SHERWOOD, OR 97140
(503) 521-6122
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
L3196
OR
104100000X
Social Worker
Primary
L3196
OR
106H00000X
Marriage & Family Therapist
L3196
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123190
—
OR
Enumeration date
04/20/2007
Last updated
06/15/2011
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