Organization
ALEXANDRA GRANNAN LICSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA GRANNAN LICSW (MANAGER, SOLE MEMBER)
(617) 520-4115
Entity
Organization
Contact information
Practice address
800 LEXINGTON STREET, WALTHAM PLAZA 1070, WALTHAM, MA 02451
(617) 520-4115
Mailing address
800 LEXINGTON STREET, WALTHAM PLAZA 1070, WALTHAM, MA 02451
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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