Individual
RYAN GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
3320 N CLINTON ST, FORT WAYNE, IN 46805-1918
(260) 266-0780
(260) 266-0785
Mailing address
2700 LAFAYETTE ST STE 110, FORT WAYNE, IN 46806-1100
(260) 266-0780
(260) 266-0785
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33013157A
IN
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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