Individual
CAROLYN ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
740 FIGSBORO RD, MARTINSVILLE, VA 24112-6770
(276) 634-0103
(276) 634-0227
Mailing address
72 TERRACE GARDEN DR APT 1, COLLINSVILLE, VA 24078-1126
(276) 629-5084
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202004067
VA
235Z00000X
Speech-Language Pathologist
Primary
2203000347
VA
Other
Enumeration date
02/15/2018
Last updated
03/13/2023
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