KELLI LONG

LEAVENWORTH, KS
NPI1114314168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: KS  9392)
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2015-04-16
Last Update Date2024-01-02
Business Address
KELLI LONG LMSW
500 LIMIT ST
LEAVENWORTH, KS 66048-4435
Phone number: 913-682-5118
Mailing Address
KELLI LONG LMSW
500 LIMIT ST
LEAVENWORTH, KS 66048-4435
Phone number: 913-682-5118
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