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Individual

BRETT GRIMM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
474 W 200 N, ST GEORGE, UT 84770-4505
(435) 634-5600
Mailing address
474 W 200 N, ST GEORGE, UT 84770-4505
(435) 634-5600

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10110602-3502
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10110602-3502
UT
Enumeration date
11/22/2016
Last updated
12/10/2024
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