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Individual
MEGAN C GRADY
Active
Individual
MEGAN C GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.2103020
OH
104100000X
Social Worker
MC16763
ME
1041C0700X
Clinical Social Worker
LC18120
ME
Other
Enumeration date
07/27/2017
Last updated
09/15/2021
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