Individual
KASSANDRA VATSANA GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCGC
Contact information
Practice address
1 PENN SQ E STE 960, PHILADELPHIA, PA 19107-2724
(215) 351-2331
Mailing address
1 PENN SQ E STE 960, PHILADELPHIA, PA 19107-2724
(215) 351-2331
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
19446
NV
Other
Enumeration date
12/22/2020
Last updated
12/13/2023
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