Individual
AMY GRACE THISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 COLUMBIA RD, DORCHESTER, MA 02125-2424
(617) 287-8000
Mailing address
278 FAYETTE ST, QUINCY, MA 02170-1619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
229936
MA
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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