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Individual
GINA T GRIMES
Active
Individual
GINA T GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004334
GA
Other
Enumeration date
02/11/2018
Last updated
02/11/2018
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