Individual
CARSON GRACE GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1556 E FM 552, ROCKWALL, TX 75087-6491
(214) 984-0757
Mailing address
5706 ROWLETT RD, ROWLETT, TX 75089-3463
(855) 782-7822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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