TIMOTHY RICHARD LONG

WARWICK, RI
NPI1114979986
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  isw01394)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: MA  1024584)
Enumeration Date2006-05-17
Last Update Date2007-11-09
Business Address
Mr. TIMOTHY RICHARD LONG LICSW
160 DRAPER AVE C/O CHILD INC.
WARWICK, RI 02889-5047
Phone number: 401-732-5200
Mailing Address
Mr. TIMOTHY RICHARD LONG LICSW
160 DRAPER AVE C/O CHILD INC.
WARWICK, RI 02889-5047
Phone number: 401-732-5200