Individual
MRS. JESSICA A LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20 ERFORD RD STE 101, LEMOYNE, PA 17043-1163
(717) 730-8555
(717) 730-4566
Mailing address
115 HOLLY DR, MECHANICSBURG, PA 17055-5527
(717) 991-4582
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019781
PA
Other
Enumeration date
01/06/2019
Last updated
01/06/2019
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