Individual
CHAVONNE SHARESE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1832 KEMPSVILLE RD, STE 112 #347, VIRGINIA BEACH, VA 23464-6861
(718) 872-8833
Mailing address
1832 KEMPSVILLE RD, STE 112 #347, VIRGINIA BEACH, VA 23464-6861
(718) 872-8833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904016286
VA
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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