MS. Grace A. Prudom, LCSW
NPI #1891979308 in South Boston, Virginia
Provider Information
- NPI Number
- 1891979308
- Entity Type
- Individual
- Name
- MS. Grace A. Prudom, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Dec 19, 2007
- Last Updated
- Dec 19, 2007
Practice Location
- Address
- 424 HAMILTON BLVD.
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-0488
- Phone
- (434) 572-2936
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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