Alexandra Grannan Licsw LLC
NPI #1871358077 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1871358077
- Entity Type
- Organization
- Organization Name
- Alexandra Grannan Licsw LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 16, 2024
- Last Updated
- Feb 16, 2024
Practice Location
- Address
- 800 LEXINGTON STREET
- Address 2
- WALTHAM PLAZA 1070
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02451
- Phone
- (617) 520-4115
Authorized Official
- Name
- ALEXANDRA GRANNAN, LICSW
- Title
- MANAGER, SOLE MEMBER
- Phone
- (617) 520-4115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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