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General NPI Number Information
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NPI Number | 1073047783
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Entity Type | Individual
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Provider Name | AUDREY DAVIS MCGRATH LICSW
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Gender | Female
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Dates
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Enumeration Date | 04/19/2017
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 440 MAIN ST STE 6
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City | STONEHAM
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State | MA
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Zip | 02180-2649
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Country | US
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Telephone | 720-464-2878
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Fax |
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Provider Business Mailing Address
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Address Line | 1 NANCY AVE
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City | PELHAM
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State | NH
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Zip | 03076-3332
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Country | US
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Telephone | 978-973-8134
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC23719
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 125819
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09928823
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License Number State | CO
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