Michael W Long, LMSW Valid NPI
Individual provider · Social Worker · Hattiesburg, MS
- NPI
- 1184896128
- Type
- Individual (Type 1)
- Primary specialty
- Social Worker
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 104100000X
- License number
- M7416 (MS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-03-31
- Last updated
- 2008-03-31
Practice location
103 S 19th Ave
Hattiesburg, MS 39401-6171
(601) 544-4641