Individual
MS. KAREN S. GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBHCM
Contact information
Practice address
120 W 1ST ST, WATONGA, OK 73772-3643
(580) 623-2545
(580) 623-7290
Mailing address
120 W 1ST ST, WATONGA, OK 73772-3643
(580) 623-2545
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CERTIFICATE #20070
OK
Other
Enumeration date
09/25/2007
Last updated
07/07/2008
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