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Individual

MS. BRENDA J GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
365 EAST ST, TEWKSBURY, MA 01876-1950
(978) 851-7321
Mailing address
365 EAST ST, TEWKSBURY, MA 01876-1950
(978) 851-7321

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
08/17/2006
Last updated
10/02/2012
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