GRACE A. PRUDOM

SOUTH BOSTON, VA
NPI1891979308
Former NameGRACE A. LEBARBE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904004773)
Enumeration Date2007-12-19
Last Update Date2007-12-19
Business Address
Ms. GRACE A. PRUDOM LCSW
424 HAMILTON BLVD.
SOUTH BOSTON, VA 24592-0488
Phone number: 434-572-2936
Mailing Address
Ms. GRACE A. PRUDOM LCSW
PO BOX 488
SOUTH BOSTON, VA 24592-0488
Phone number: 434-572-2936