Long, Eileen
Long, Eileen is an sole proprietor health care provider with primary practice located at 1001 Southwest Blvd Ste. F, Jefferson City MO 65109-2501. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Long, Eileen can be contacted via phone (573) 424-1108.Contact Information
Primary practice address
1001 Southwest Blvd Ste. F
Jefferson City MO 65109-2501
Phone: (573) 424-1108
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2013010516 | Missouri |
Profile Details
| NPI number | 1053764480 |
|---|---|
| LBN Legal business name | Long, Eileen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2016 |
| Last updated | Jul 20th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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