Individual
ALISHA GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
238 W END AVE, MASSAPEQUA, NY 11758-6413
(516) 506-8854
Mailing address
238 W END AVE, MASSAPEQUA, NY 11758-6413
(516) 506-8854
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
NY
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
10/17/2022
Last updated
05/29/2024
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