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1770058646
GRAYSON DORIAN WAYNE
LOWELL, MA
NPI
1770058646
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Former Name
SHAWN PATRICK MCGINTY
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 226460)
Enumeration Date
2018-10-08
Last Update Date
2021-09-29
Business Address
GRAYSON DORIAN WAYNE MSW, LCSW
161 JACKSON ST
LOWELL, MA 01852-2103
Phone number: 978-937-9700
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Mailing Address
GRAYSON DORIAN WAYNE MSW, LCSW
161 JACKSON ST
LOWELL, MA 01852-2103
Phone number:
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