Individual
MARY JANELL GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CP CADAC, LAD
Contact information
Practice address
11 UNION ST, LAWRENCE, MA 01840-1815
(978) 685-1337
(978) 681-1281
Mailing address
76 NORCROSS ST, LOWELL, MA 01851-4905
(978) 937-5917
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1301AD
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
2158
MA
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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