| Megan Grandon Licsw Llc | |
|
65 Dodge St Unit C North Beverly Plaza #1016 Beverly MA 01915 | |
| (978) 219-4119 | |
| Not Available |
| Full Name | Megan Grandon Licsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 65 Dodge St Unit C, Beverly, Massachusetts |
| Authorized Official Name and Position | Megan Grandon (OWNER) |
| Authorized Official Contact | 9782194119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Grandon Licsw Llc 65 Dodge St Unit C North Beverly Plaza #1016 Beverly MA 01915 Ph: () - | Megan Grandon Licsw Llc 65 Dodge St Unit C North Beverly Plaza #1016 Beverly MA 01915 Ph: (978) 219-4119 |
| NPI Number | 1063283224 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Certification Date | 07/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063283224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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