RICHARD GRUMBACH

BOSTON, MA
NPI1891742292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  101739)
Enumeration Date2006-05-30
Last Update Date2009-04-07
Business Address
-- RICHARD GRUMBACH LICSW
147 MILK ST
BOSTON, MA 02109-4806
Phone number: 617-654-7300
Mailing Address
-- RICHARD GRUMBACH LICSW
147 MILK ST PROVIDER ENROLLMENT 9TH FLOOR
BOSTON, MA 02109-4806
Phone number: 617-559-8051