Individual
DAVID M GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC IN TRAINING
Contact information
Practice address
3801 N 88TH ST, MILWAUKEE, WI 53222-2706
(414) 466-9450
Mailing address
3801 N 88TH ST, MILWAUKEE, WI 53222-2706
(414) 466-9450
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1294-226
WI
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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