Alexandra Grannan Licsw Llc | |
800 Lexington Street Waltham Plaza 1070 Waltham MA 02451 | |
(617) 520-4115 | |
Not Available |
Full Name | Alexandra Grannan Licsw Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 800 Lexington Street, Waltham, Massachusetts |
Authorized Official Name and Position | Alexandra Grannan (MANAGER, SOLE MEMBER) |
Authorized Official Contact | 6175204115 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alexandra Grannan Licsw Llc 800 Lexington Street Waltham Plaza 1070 Waltham MA 02451 Ph: () - | Alexandra Grannan Licsw Llc 800 Lexington Street Waltham Plaza 1070 Waltham MA 02451 Ph: (617) 520-4115 |
NPI Number | 1871358077 |
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Provider Enumeration Date | 02/16/2024 |
Last Update Date | 02/16/2024 |
Certification Date | 02/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871358077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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