Individual
MRS. CORDELIA GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4305 N LINCOLN AVE STE G, CHICAGO, IL 60618-1807
(815) 216-4116
Mailing address
832 BENNINGTON DR, CRYSTAL LAKE, IL 60014-8841
(847) 852-6372
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.020285
IL
Other
Enumeration date
04/30/2018
Last updated
06/22/2022
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