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Kellie Nicole Long, BSW
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1073861779

Kellie Nicole Long is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Kellie Nicole Long practices in San Diego, CA and has the professional credentials of BSW. The NPI Number for Kellie Nicole Long is 1073861779 and holds a License No. (California).

The current practice location address for Kellie Nicole Long is 3255 Wing St, San Diego, CA and can be reached out via phone at 619-221-8600 and via fax at 619-221-8619.

Location: 3255 Wing St, San Diego, CA, 92110-4638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073861779
Provider Name
Kellie Nicole Long
Credential
BSW
Provider Entity Type
Individual
Gender
Female
Address
3255 Wing St, San Diego, CA, 92110-4638
Phone Number
619-221-8600
Fax Number
619-221-8619
Provider Enumeration Date
08/28/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3255 Wing St
City
San Diego
State
California
Zip
92110-4638
Phone Number
619-221-8600
Fax Number
619-221-8619
person
Provider Business Mailing Address Details
Address
3255 Wing St
City
San Diego
State
California
Zip
92110-4638
Phone Number
619-221-8600
Fax Number
619-221-8619
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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