DR. JACK LONG, PH.D.
Social Worker - Clinical
Active
Individual
NPI: 1447296629
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 03068 (MD) |
Frequently Asked Questions
NPI 1447296629 is the National Provider Identifier for DR. JACK LONG, PH.D., a Social Worker - Clinical provider located in Catonsville, MD. This NPI was enumerated on June 22, 2006.
DR. JACK LONG, PH.D. practices at 720C MAIDEN CHOICE LN, Catonsville, MD 21228.
Quick Facts
- NPI
- 1447296629
- Type
- Individual
- Enumerated
- Jun 22, 2006
- Last Updated
- Dec 12, 2011
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