Organization
GRACE D. SHORTT, LCSW ACSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE DELK SHORTT LCSW, ACSW (OWNER/THERAPIST)
(804) 687-0740
Entity
Organization
Contact information
Practice address
8101 VANGUARD DR STE 250, MECHANICSVILLE, VA 23111-4707
(804) 687-0740
Mailing address
6771 SHIPS LN, MECHANICSVILLE, VA 23111-4590
(540) 797-8932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/26/2021
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