Individual
GEORGE DALLAS DEGROAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LE
Contact information
Practice address
100 7TH ST STE 104, PORTSMOUTH, VA 23704-4800
(757) 344-5265
Mailing address
100 7TH ST STE 104, PORTSMOUTH, VA 23704-4800
(757) 344-5265
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0906014750
VA
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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