Organization
JANET M GRIM MA LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET MCCULLOUGH GRIM M.A. (PRESIDENT)
(904) 269-7500
Entity
Organization
Contact information
Practice address
1726 KINGSLEY AVE, SUITE 3, ORANGE PARK, FL 32073
(904) 269-7500
(904) 269-9972
Mailing address
1726 KINGSLEY AVE, SUITE 3, ORANGE PARK, FL 32073
(904) 269-7500
(904) 269-9972
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT485
FL
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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