MR. TIMOTHY LONG, LICSW

Social Worker - Clinical

Active Individual
NPI: 1114979986

Practice Address

160 DRAPER AVE
C/O CHILD INC.
Warwick, RI 02889

Phone: (401) 732-5200

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X No 1024584 (MA)

Frequently Asked Questions

NPI 1114979986 is the National Provider Identifier for MR. TIMOTHY LONG, LICSW, a Social Worker - Clinical provider located in Warwick, RI. This NPI was enumerated on May 17, 2006.
MR. TIMOTHY LONG, LICSW practices at 160 DRAPER AVE, C/O CHILD INC., Warwick, RI 02889.

Quick Facts

NPI
1114979986
Type
Individual
Enumerated
May 17, 2006
Last Updated
Nov 9, 2007

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