WANDA MICHELLE LONG

CRESTVIEW, FL
NPI1730661935
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW15311)
Enumeration Date2018-09-04
Last Update Date2018-09-04
Business Address
WANDA MICHELLE LONG LCSW
259 E OAKDALE AVE
CRESTVIEW, FL 32539-3547
Phone number: 850-682-1234
Mailing Address
WANDA MICHELLE LONG LCSW
259 E OAKDALE AVE
CRESTVIEW, FL 32539-3547
Phone number: 850-449-9566