Provider Demographics
NPI:1407587439
Name:STORNIOLO, GRACE
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:STORNIOLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SUNNY MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:ATKINSON
Mailing Address - State:NH
Mailing Address - Zip Code:03811-2370
Mailing Address - Country:US
Mailing Address - Phone:603-327-4434
Mailing Address - Fax:
Practice Address - Street 1:4 SUNNY MEADOW RD
Practice Address - Street 2:
Practice Address - City:ATKINSON
Practice Address - State:NH
Practice Address - Zip Code:03811-2370
Practice Address - Country:US
Practice Address - Phone:603-327-4434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker