Individual
JOHN W GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1025 AIRPORT DR, SOUTH BURLINGTON, VT 05403-6013
(802) 488-7711
Mailing address
208 FLYNN AVE, 3J, BURLINGTON, VT 05401-5429
(802) 488-6900
(802) 488-6919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000937
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014186
—
VT
Enumeration date
01/02/2007
Last updated
05/11/2011
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