Individual
MR. DEMETRIUS R GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
717 SUTHERLAND DR, CHESAPEAKE, VA 23320-6641
(757) 232-3882
Mailing address
717 SUTHERLAND DR, CHESAPEAKE, VA 23320-6641
(757) 232-3882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007995
VA
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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