Individual
CAROL PETRO-LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4511
(571) 423-4034
(571) 423-4037
Mailing address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4511
(571) 423-4034
(571) 423-4037
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0904002704
VA
1041S0200X
School Social Worker
Primary
PPS-0605991
VA
Other
Enumeration date
04/16/2018
Last updated
03/10/2025
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