LISA TALBOT LONG

ROCKY MOUNT, VA
NPI1093010894
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904007590)
Enumeration Date2011-01-26
Last Update Date2015-02-09
Business Address
-- LISA TALBOT LONG LCSW
30 TECHNOLOGY DR
ROCKY MOUNT, VA 24151-3008
Phone number: 540-483-5044
Mailing Address
-- LISA TALBOT LONG LCSW
24 CLAY ST
MARTINSVILLE, VA 24112-2810
Phone number: 540-483-5044