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NPI Code Detail

MEDICARE: MS. GRACE A ARCHER MSW

MEDICARE:  MS. GRACE A ARCHER  MSW
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 Counselor2EFCEEACC8B7MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1451963800/451963801OTHERMABHL PROVIDER NUMBERS

General Provider Information

NPI Number : 1871731034
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GRACE A ARCHER MSW
Provider Business Mailing Address
First Line : 419 EAST RIVER STREET
Second Line : 1411
City : ORANGE
State : MA
Zip : 01364-2105
Country : US
Telephone Number : 978-544-2448
Fax Number :
Provider Business Practice Location Address
First Line : 419 E RIVER ST
Second Line : 1411
City : ORANGE
State : MA
Zip : 01364-1847
Country : US
Telephone Number : 978-544-2448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2009
Last Update Date : 01/27/2009

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Directions to “ MS. GRACE A ARCHER MSW” Practice Location

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