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Individual
MS. PAMELA JEAN GRASSO-LYON
Active
Individual
MS. PAMELA JEAN GRASSO-LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4242
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LM0853
BCBSMA PROVIDER NUMBER
MA
Enumeration date
09/27/2006
Last updated
07/08/2007
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