Individual
DR. ANTHONY M GULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LCSW
Contact information
Practice address
8500 EXECUTIVE PARK AVE, SUITE 200, FAIRFAX, VA 22031-2225
(703) 698-5220
(703) 573-2351
Mailing address
8500 EXECUTIVE PARK AVE, STE 200, FAIRFAX, VA 22031-2228
(703) 698-5220
(703) 573-2351
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000152
VA
Other
Enumeration date
01/12/2009
Last updated
08/23/2016
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