Individual
MS. LISA GOLDBLATT GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, MPH
Contact information
Practice address
53 LINDEN ST, BROOKLINE, MA 02445-7859
(617) 699-4998
Mailing address
53 LINDEN ST, BROOKLINE, MA 02445-7859
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1031340
MA
Other
Enumeration date
07/03/2009
Last updated
07/03/2009
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