SearchVirginiaClinical Social Worker

Grace Prudom, LCSW

NPI 1891979308 · on the registry since 2007

Practice

Address
424 Hamilton Blvd.
South Boston, VA 24592
Phone
(434) 572-2936
Fax
(434) 572-4881
Clinicians at this address
13

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-12-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia