Individual
BIANCA GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 WHITEHALL ST, DEDHAM, MA 02026-2206
(781) 414-1475
Mailing address
31 WHITEHALL ST, DEDHAM, MA 02026-2206
(781) 414-1475
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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