Individual
ANNA MARIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2964 KEEPSAKE DR, SEASIDE, OR 97138-5026
(206) 799-9262
Mailing address
2964 KEEPSAKE DR, SEASIDE, OR 97138-5026
(206) 799-9262
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11685
OR
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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