SAMUEL ROBERT LONG

WEST CHESTER, OH
NPI1821587395
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: OH  S.1302793)
Enumeration Date2018-05-09
Last Update Date2018-05-09
Business Address
SAMUEL ROBERT LONG LSW, CDCA
5900 W CHESTER RD STE C
WEST CHESTER, OH 45069-2951
Phone number: 513-777-2428
Mailing Address
SAMUEL ROBERT LONG LSW, CDCA
248 S HEINCKE RD APT 5H
MIAMISBURG, OH 45342-3577
Phone number: 937-204-5015
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PROFESSIONAL PSYCHIATRIC SERVICES, LLC