Most Relevant Information
Provider Data
| NPI Number: | 1003200288 |
| Provider Name: | MICHELLE LYNNE GRACEY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 219591 |
Most Important Dates
| Enumeration Date: | 03/25/2015 |
| Last Updated: | 03/25/2015 |
Provider Practice Location
210 STOREY AVE
NEWBURYPORT
MA
019506215
Practice Location Phone/Fax
| Phone: | 9784620922 |
| Fax: |
Provider Mailing Location
210 STOREY AVE
NEWBURYPORT
MA
019506215
Provider Mailing Phone/Fax
| Phone: | 9784620922 |
| Fax: |