Individual
ALEXANDRA GRANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
(617) 278-0341
Mailing address
1153 CENTRE ST, JAMAICA PLAIN, MA 02130-3446
(617) 983-7000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
124278
MA
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124278
ASSOCIATION OF SOCIAL WORK BOARDS
MA
Enumeration date
10/04/2017
Last updated
08/20/2024
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