EILEEN LONG

JEFFERSON CITY, MO
NPI1053764480
Former NameEILEEN ROLD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2013010516)
Enumeration Date2016-07-20
Last Update Date2016-07-20
Business Address
-- EILEEN LONG LCSW
1001 SOUTHWEST BLVD STE. F
JEFFERSON CITY, MO 65109-2501
Phone number: 573-424-1108
Mailing Address
-- EILEEN LONG LCSW
1001 SOUTHWEST BLVD STE. F
JEFFERSON CITY, MO 65109-2501
Phone number:
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