Individual
MS. CATHLEEN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
264 BEACON ST, # 5, BOSTON, MA 02116-1236
(617) 247-3939
(508) 880-2072
Mailing address
1559 BAY ST, APT 5, TAUNTON, MA 02780-1051
(617) 247-3939
(508) 880-2072
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103082
MA
1041C0700X
Clinical Social Worker
103082
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164542098
TUFTS HEALTH IPLAN
MA
01
—
PO1988
BLUE CROSS BLUESHIELD
MA
Enumeration date
04/02/2007
Last updated
12/08/2020
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