Individual
KAREN GRIMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 EAST COUNTY LINE ROAD, STE C-1, INDIANAPOLIS, IN 46227-6291
(317) 497-6290
(317) 497-6290
Mailing address
6626 E 75TH STREET, STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7561
(317) 355-6096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006611A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000892097
ANTHEM
IN
Enumeration date
08/26/2014
Last updated
11/09/2020
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