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Individual

CAROL PETRO-LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

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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