Individual
GRACE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 HOPE AVE, WORCESTER, MA 01603-2212
(508) 755-2340
Mailing address
2 TORY FORT LN APT 2, WORCESTER, MA 01602-1223
(508) 596-1681
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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