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Individual

CATHERINE GRIMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMHC

Contact information

Practice address
500 JEFFERSON BLVD, WARWICK, RI 02886-1362
(401) 737-0820
Mailing address
60 SPECTACLE AVE, WARWICK, RI 02888-3514

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00272
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023290
BEACON HEALTH STRATEGIES
RI
01
31229-9
BLUE CROSS
RI
01
413335
BLUE CHIP
RI
05
FM49368
RI
Enumeration date
01/09/2007
Last updated
07/08/2007
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