Individual
MRS. NICOLE ELENA GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
100 MCCOLLUM ST STE 2, CLEMSON, SC 29631-1532
(864) 710-0391
Mailing address
100 MCCOLLUM ST STE 2, CLEMSON, SC 29631-1532
(864) 710-0391
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6599
SC
Other
Enumeration date
10/08/2009
Last updated
11/14/2017
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