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1083082614
MICHAEL GRINNELL
JAMAICA PLAIN, MA
NPI
1083082614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA S40690186)
Enumeration Date
2015-09-14
Last Update Date
2015-09-14
Business Address
Mr. MICHAEL GRINNELL
555 AMORY ST
JAMAICA PLAIN, MA 02130-2652
Phone number: 617-522-0901
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Mailing Address
Mr. MICHAEL GRINNELL
29 MONTCALM AVE
BRIGHTON, MA 02135-2839
Phone number:
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