| Nicole Long | |
|
150 West St West Bridgewater MA 02379-1448 | |
| (508) 927-2464 | |
| Not Available |
| Full Name | Nicole Long |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 150 West St, West Bridgewater, Massachusetts |
| Authorized Official Name and Position | Nicole Long (OWNER) |
| Authorized Official Contact | 5089272464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Long Po Box 456 Brockton MA 02303-0456 Ph: () - | Nicole Long 150 West St West Bridgewater MA 02379-1448 Ph: (508) 927-2464 |
| NPI Number | 1467888438 |
|---|---|
| Provider Enumeration Date | 09/22/2013 |
| Last Update Date | 09/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467888438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 117186 (Massachusetts) | Primary |
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