Individual
MS. GRACE DELK SHORTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1101 PROFESSIONAL DR STE B, WILLIAMSBURG, VA 23185-3301
(757) 561-4110
Mailing address
1101 PROFESSIONAL DR STE B, WILLIAMSBURG, VA 23185-3301
(757) 561-4110
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005721
VA
Other
Enumeration date
06/15/2009
Last updated
12/01/2021
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