| Anne M Grant Licsw Llc | |
|
121 Middle St Manchester NH 03101-1981 | |
| (978) 408-3840 | |
| Not Available |
| Full Name | Anne M Grant Licsw Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 121 Middle St, Manchester, New Hampshire |
| Authorized Official Name and Position | Anne Grant (OWNER) |
| Authorized Official Contact | 9784083842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anne M Grant Licsw Llc 121 Middle St Manchester NH 03101-1981 Ph: (978) 408-3840 | Anne M Grant Licsw Llc 121 Middle St Manchester NH 03101-1981 Ph: (978) 408-3840 |
| NPI Number | 1982180543 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 10/04/2023 |
| Certification Date | 10/04/2023 |
| Medicare PECOS PAC ID | 3779835574 |
|---|---|
| Medicare Enrollment ID | O20181005000838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982180543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Anne Marie Grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255747093 PECOS PAC ID: 4688926488 Enrollment ID: I20181005001064 |
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