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Individual

KIMBERLEY GRIMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
8500 EXECUTIVE PARK AVE STE 204, FAIRFAX, VA 22031-2253
(443) 415-4482
Mailing address
22809 BREEZY HOLLOW DR, BRAMBLETON, VA 20148-5737
(443) 415-4482

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008145
VA

Other

Enumeration date
08/19/2014
Last updated
05/02/2019
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