MEDICARE: ANNE ELIZABETH GRENIER 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
1	101YP2500X	Professional Counselor	1026145	MA

General Provider Information

NPI Number	:	1750037149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE ELIZABETH GRENIER LICSW

Provider Business Mailing Address
First Line	:	97 SPRING ST
Second Line	:
City	:	SHREWSBURY
State	:	MA
Zip	:	01545-2322
Country	:	US
Telephone Number	:	774-287-7464
Fax Number	:

Provider Business Practice Location Address
First Line	:	97 SPRING ST
Second Line	:
City	:	SHREWSBURY
State	:	MA
Zip	:	01545-2322
Country	:	US
Telephone Number	:	774-287-7464
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2022
Last Update Date	:	02/24/2022

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