Individual
LUCY FLORENCE GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
40 CHURCH ST, LOWELL, MA 01852-6113
(781) 888-5736
Mailing address
89 WHITNEY AVE, LOWELL, MA 01850-1322
(781) 888-5736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
MA
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780291278
—
MA
05
—
EIN
—
MA
Enumeration date
09/28/2020
Last updated
05/06/2024
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