Individual
JANESSA GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 ELIZABETH ST, ASHLAND CITY, TN 37015-1101
(615) 792-2070
Mailing address
414 UNION ST STE 1100, NASHVILLE, TN 37219-1718
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6859
TN
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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