MS. GRACE PRUDOM, LCSW

Social Worker - Clinical

Active Individual
NPI: 1891979308

Practice Address

424 HAMILTON BLVD.
South Boston, VA 24592

Phone: (434) 572-2936

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 0904004773 (VA)

Frequently Asked Questions

NPI 1891979308 is the National Provider Identifier for MS. GRACE PRUDOM, LCSW, a Social Worker - Clinical provider located in South Boston, VA. This NPI was enumerated on December 19, 2007.
MS. GRACE PRUDOM, LCSW practices at 424 HAMILTON BLVD., South Boston, VA 24592.

Quick Facts

NPI
1891979308
Type
Individual
Enumerated
Dec 19, 2007
Last Updated
Dec 19, 2007

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