Individual
KATHRYN GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
166 MAIN ST, MATAWAN, NJ 07747-3104
(732) 690-1356
Mailing address
1933 STATE ROUTE 35, WALL TOWNSHIP, NJ 07719-3502
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06557000
NJ
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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