Individual
MRS. KRISTINE ASHLEY GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7137 BEULAH ST, ALEXANDRIA, VA 22315-3501
(703) 924-7747
Mailing address
8700 WILLOW OAKS CORPORATE DRIVE, SLP OFFICE, FAIRFAX, VA 22031
(571) 423-4900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008018
VA
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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