STACY LYNN SHORTER

HAMPTON, VA
NPI1043424187
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904006418)
Enumeration Date2007-05-09
Last Update Date2007-07-30
Business Address
-- STACY LYNN SHORTER LCSW
100 EMANCIPATION DR
HAMPTON, VA 23667-0001
Phone number: 757-722-9961
Mailing Address
-- STACY LYNN SHORTER LCSW
1545 ADAMS CIR
HAMPTON, VA 23663-2003
Phone number: 757-725-0148