Individual
MRS. CAROL MICHELE FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.I.S.W.
Contact information
Practice address
325 NEW CASTLE RD, BUTLER, PA 16001-2418
(724) 496-2339
Mailing address
325 NEW CASTLE RD, BUTLER, PA 16001-2418
(724) 496-2339
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00009315
OH
Other
Enumeration date
08/22/2006
Last updated
05/31/2016
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