Individual
JESSICA ANN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 CONDOR ST, EAST BOSTON, MA 02128-1305
(617) 569-6560
(617) 569-1856
Mailing address
31 COUNTY ST, DEDHAM, MA 02026-4107
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/24/2009
Last updated
03/27/2011
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