Individual
MS. BETH A GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
718 SMYTH RD, MANCHESTER, NH 03104-7007
(000) 000-0000
Mailing address
718 SMYTH RD, MANCHESTER, NH 03104-7007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10728
ME
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/25/2005
Last updated
10/28/2019
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