Individual
BARBARA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, BCD
Contact information
Practice address
505 FAULCONER DR, SUITE 2D, CHARLOTTESVILLE, VA 22903-4981
(434) 295-6777
(434) 973-8080
Mailing address
505 FAULCONER DR, SUITE 2D, CHARLOTTESVILLE, VA 22903-4981
(434) 295-6777
(434) 973-8080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000167
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11526185
CAQH
VA
Enumeration date
05/13/2007
Last updated
07/08/2007
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