MR. Michael Grinnell

NPI #1083082614 in Jamaica Plain, Massachusetts

Provider Information

NPI Number: 1083082614
Entity Type: Individual
Name: MR. Michael Grinnell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 14, 2015
Last Updated: Sep 14, 2015

Practice Location

Address: 555 AMORY ST
City: Jamaica Plain
State: Massachusetts
ZIP Code: 02130-2652
Phone: (617) 522-0901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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