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Individual
MS. SARA ELIZABETH GRIM
Active
Individual
MS. SARA ELIZABETH GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MRC CRC LICDC PCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
00051709
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
021255
OH
101YM0800X
Mental Health Counselor
Primary
E0007946
OH
Other
Enumeration date
07/17/2007
Last updated
09/13/2007
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