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Individual

DR. ANITA MARIE GRAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
36 WOBURN ST, #6, READING, MA 01867-2973
(781) 315-1622
Mailing address
PO BOX 3, READING, MA 01867-0003
(781) 315-1622

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04486
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0525537
MA
Enumeration date
01/20/2006
Last updated
02/17/2012
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