Individual
CHARLES GRANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1100 WASHINGTON ST, STE 206, DORCHESTER, MA 02124-5520
(617) 325-2293
(617) 325-5618
Mailing address
1731 BEACON ST, BROOKLINE, MA 02445-5350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1021592
MA
Other
Enumeration date
05/16/2007
Last updated
06/26/2018
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