MYISHA LONG

LANCASTER, TX
NPI1982794145
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  41518)
Additional Taxonomies104100000X Social Worker
(Licence: TX  41518)
Enumeration Date2006-10-16
Last Update Date2011-09-21
Business Address
-- MYISHA LONG LCSW
1036 BADGER RUN
LANCASTER, TX 75134-4618
Phone number: 972-228-4384
Mailing Address
-- MYISHA LONG LCSW
1036 BADGER RUN
LANCASTER, TX 75134-4618
Phone number: 972-228-4384