Individual
CYNTHIA ANN GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
659 MORGANTON SQUARE DR, MARYVILLE, TN 37801-4763
(865) 254-6401
(865) 982-9428
Mailing address
DEPARTMENT 888182, KNOXVILLE, TN 37995-0001
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW4345
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3927036
—
TN
Enumeration date
07/12/2005
Last updated
03/08/2019
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