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Individual

DR. MARC ANDERSON GRIMMETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., HSP-P

Contact information

Practice address
3801 LAKE BOONE TRL, RALEIGH, NC 27607-2934
(919) 784-9182
Mailing address
4208 KNIGHTSBRIDGE WAY, RALEIGH, NC 27604-8440
(919) 622-3504
(919) 515-6891

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3145
NC

Other

Enumeration date
11/29/2006
Last updated
07/08/2007
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