Individual
MR. GRANTLIN SCHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
42785 GENERATION DR APT 514, ASHBURN, VA 20147-4091
(571) 271-3681
Mailing address
42785 GENERATION DR APT 514, ASHBURN, VA 20147-4091
(571) 271-3681
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008445
VA
251S00000X
Community/Behavioral Health Agency
0904008445
VA
Other
Enumeration date
01/15/2014
Last updated
02/12/2024
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