Individual
VANESSA SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
725 N PIKE ST, GRAFTON, WV 26354-1270
(304) 265-4909
(304) 265-4915
Mailing address
25 W BLUEMONT ST, GRAFTON, WV 26354-1242
(304) 265-0312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00945730
WV
Other
Enumeration date
08/24/2020
Last updated
07/21/2023
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