Sondra Adele Long, LCSW Valid NPI
Individual provider · Clinical Social Worker · Patrick Afb, FL
- NPI
- 1871588178
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- SW 4492 (FL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-09-13
- Last updated
- 2007-07-08
Practice location
1381 S Patrick Dr, Bldg 1370 Life Skills Support Center 45 Mdos Sgoh
Patrick Afb, FL 32925-3606
(321) 494-8234