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NPI Code Detail

MEDICARE: MRS. AMANDA MARIE GRAZIANO MSCP

MEDICARE: MRS. AMANDA MARIE GRAZIANO MSCP
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1144398306
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA MARIE GRAZIANO MSCP
Provider Business Mailing Address
First Line : 19 N BEDFORD ST
Second Line :
City : EAST BRIDGEWATER
State : MA
Zip : 02333-1141
Country : US
Telephone Number : 781-447-6425
Fax Number :
Provider Business Practice Location Address
First Line : 288 BEDFORD ST
Second Line :
City : WHITMAN
State : MA
Zip : 02382-1820
Country : US
Telephone Number : 781-447-6425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 07/08/2007

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