Individual
CHIRIE LEDDELL GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7107 W 12TH ST STE 201, LITTLE ROCK, AR 72204-2451
(501) 663-1837
Mailing address
7107 W 12TH ST STE 201, LITTLE ROCK, AR 72204-2451
(501) 663-1837
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182152526
RSPMI
AR
05
—
1922323096
—
AR
Enumeration date
11/28/2012
Last updated
11/28/2012
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