Individual
MS. DONNA ETHEL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW,CAS,LADC,RPP
Contact information
Practice address
31 NEW OCEAN ST, SWAMPSCOTT, MA 01907-1832
(617) 281-5086
(617) 281-5086
Mailing address
31 NEW OCEAN ST, SWAMPSCOTT, MA 01907-1832
(617) 281-5086
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
868
MA
1041C0700X
Clinical Social Worker
Primary
1029674
MA
Other
Enumeration date
04/17/2007
Last updated
07/08/2010
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