DEVONTE SHORT

LANEXA, VA
NPI1710491246
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904015454)
Enumeration Date2017-11-20
Last Update Date2026-07-23
Business Address
DEVONTE SHORT
1710 CARTER RD
LANEXA, VA 23089-5725
Phone number: 804-433-9801
Mailing Address
DEVONTE SHORT
1710 CARTER RD
LANEXA, VA 23089-5725
Phone number: 804-433-9801