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THEODORE LONG
Clinical Social Worker
NPI: 1992045454Individual
Specialties, Licenses & Credentials
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
LCS 25432(CA)
Contact & Hours
- Address
- 2100 PEABODY RD
VACAVILLE, CA 95687 - Phone
- (707) 451-0182
Quick Facts
- NPI
- 1992045454
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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