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1386791044
CARLA DENISE LONG
FORT BELVOIR, VA
NPI
1386791044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: AL 701)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
Dr. CARLA DENISE LONG Ph.D.
9501 FARRELL RD
FORT BELVOIR, VA 22060-5901
Phone number: 703-805-0599
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Mailing Address
Dr. CARLA DENISE LONG Ph.D.
PO BOX 154
FORT BELVOIR, VA 22060-0154
Phone number: 703-664-5000
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