| NPI | 1932404266 |
|---|---|
| Former Legal Business Name | INGRID S LONGO MSW LICSW |
| Entity Type | Organization |
| Authorized Contact | INGRID SCHOLZ LONGO President 802-365-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 477) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-07-07 |