Nicole Long is a health care provider in Brockton, MA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||150 West St, West Bridgewater, MA 02379-1448, US|
|Practice Location Phone||508-927-2464|
|Practice Location Fax|
|Legal Business Name||NICOLE LONG|
|Enumeration Date ?||Sep 22, 2013|
|Last Update Date ?||Sep 22, 2013|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Social Worker||Behavioral Health & Social Service Providers||Clinical||117186||Massachusetts|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Nicole Long's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Nicole Long|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||508-927-2464|