Individual
MELINDA LONGTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3132 OLD JACKSONVILLE RD, SPRINGFIELD, IL 62704-7400
(217) 862-0800
Mailing address
3132 OLD JACKSONVILLE RD, SPRINGFIELD, IL 62704-7400
(217) 862-0800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150116665
IL
Other
Enumeration date
09/06/2023
Last updated
09/12/2025
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