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NPI Code Detail

MEDICARE: MR. WILLIAM CHARLES MCGRORY LICSW

MEDICARE: MR. WILLIAM CHARLES MCGRORY LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker1023591MA

General Provider Information

NPI Number : 1629134762
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM CHARLES MCGRORY LICSW
Provider Business Mailing Address
First Line : 9 COBLEIGH RD
Second Line :
City : BOXBOROUGH
State : MA
Zip : 01719-1519
Country : US
Telephone Number : 978-929-2999
Fax Number :
Provider Business Practice Location Address
First Line : 9 COBLEIGH RD
Second Line :
City : BOXBOROUGH
State : MA
Zip : 01719-1519
Country : US
Telephone Number : 978-929-2999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2006
Last Update Date : 07/08/2007

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Directions to “ MR. WILLIAM CHARLES MCGRORY LICSW” Practice Location

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