Individual
GRACE MIMNAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
792 S MAIN ST, MANSFIELD, MA 02048-3137
(508) 591-0821
Mailing address
792 S MAIN ST, MANSFIELD, MA 02048-3137
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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