PHILLIP EVERETT LONG

CRESCO, PA
NPI1770910374
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: PA  cw020765)
Enumeration Date2013-09-27
Last Update Date2024-04-27
Business Address
Mr. PHILLIP EVERETT LONG Lsw, Msw, Mpa
1056 ROUTE 390
CRESCO, PA 18326-7908
Phone number: 570-807-5534
Mailing Address
Mr. PHILLIP EVERETT LONG Lsw, Msw, Mpa
124 ESCOLL DR
EAST STROUDSBURG, PA 18301-9363
Phone number: 570-807-5534
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