Individual
MS. JUDITH GRUNEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1105 MASS. AVENUE, CAMBRIDGE, MA 02138
(617) 876-8277
Mailing address
1105 MASS. AVENUE, CAMBRIDGE, MA 02138
(617) 876-8277
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
102906
MA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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