S Ann Long Trauma Therapist Collective Plc | |
12 Green Mountain Dr Apt 7 Iowa City IA 52245-3814 | |
(319) 321-4564 | |
Not Available |
Full Name | S Ann Long Trauma Therapist Collective Plc |
---|---|
Speciality | Social Worker - Clinical |
Location | 12 Green Mountain Dr Apt 7, Iowa City, Iowa |
Authorized Official Name and Position | S Ann Long (THERAPY SOLE MBR) |
Authorized Official Contact | 3193214564 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
S Ann Long Trauma Therapist Collective Plc 12 Green Mountain Dr Apt 7 Iowa City IA 52245-3814 Ph: (319) 321-4564 | S Ann Long Trauma Therapist Collective Plc 12 Green Mountain Dr Apt 7 Iowa City IA 52245-3814 Ph: (319) 321-4564 |
NPI Number | 1225807886 |
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Provider Enumeration Date | 12/25/2023 |
Last Update Date | 01/09/2024 |
Certification Date | 01/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225807886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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