JODY G LONG

MEMPHIS, TN
NPI1548228307
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TN  3638)
Enumeration Date2006-05-02
Last Update Date2007-07-08
Business Address
-- JODY G LONG LCSW
1910 NONCONNAH BLVD SUITE 120
MEMPHIS, TN 38132-2113
Phone number: 901-448-2300
Mailing Address
-- JODY G LONG LCSW
135 N PAULINE ST
MEMPHIS, TN 38105-4619
Phone number: 901-448-8258
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