MICHEL LARAYNE LONG

HURLBURT FIELD, FL
NPI1083040489
Former NameMICHEL LARAYNE BEGUIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2015040067)
Additional Taxonomies104100000X Social Worker
(Licence: KS  8771)
1041C0700X Social Worker, Clinical
(Licence: FL  SW13798)
Enumeration Date2013-09-18
Last Update Date2022-05-31
Business Address
MICHEL LARAYNE LONG LCSW
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544-5613
Phone number: 850-461-5651
Mailing Address
MICHEL LARAYNE LONG LCSW
5345 WOODLAKE TRCE
GULF BREEZE, FL 32563-9592
Phone number: 417-655-2597