SAMUEL ROBERT LONG

MORAINE, OH
NPI1821587395
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OH  I.2406033)
Enumeration Date2018-05-09
Last Update Date2025-03-02
Business Address
SAMUEL ROBERT LONG LISW
5350 LAMME RD
MORAINE, OH 45439-3215
Phone number: 937-534-4627
Mailing Address
SAMUEL ROBERT LONG LISW
1658 FAUVER AVE
DAYTON, OH 45410-3217
Phone number: 937-204-5015
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