Aaliyah Daon Granger | Roxbury, MA • PECOS Search

Aaliyah Daon Granger

Counselor

Behavioral Health & Social Service Providers

520 Dudley St, Roxbury, MA 02119-2769

(617) 445-6655 (601) 934-7269

PECOS Enrollment

Based on the most recent information from CMS, provider Aaliyah Daon Granger does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1104537976
Provider Type
Individual
Full Name
Granger, Aaliyah Daon
Credential
M.S.

Gender
Female
Sole Proprietor
No
Enumeration Date
12/12/2022
Last Updated
12/12/2022

Contact Information

Practice Location

520 Dudley St, Roxbury, MA 02119-2769

Unlisted Fax

Mailing Location

11213 S Lothair Ave, Chicago, IL 60643-4131

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer