Individual
DR. DEANNA R. GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
320 MAXWELL RD, SUITE 600 C, ALPHARETTA, GA 30009-2070
(678) 300-4746
Mailing address
320 MAXWELL RD, SUITE 600 C, ALPHARETTA, GA 30009-2070
(678) 300-4746
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC615
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099972183A
—
GA
Enumeration date
03/19/2007
Last updated
07/29/2014
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