Individual
CHEYENNE GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1643 CAMPUS PARK DR STE C, MONROE, NC 28112-5588
(704) 237-4240
Mailing address
2010 FORGET ME NOT LN, WINGATE, NC 28174-9709
(717) 253-7965
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17511
NC
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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