Individual
ANNA DIANNE GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3301 VETERANS DRIVE, SUITE 124, TRAVERSE CITY, MI 49684-4564
(231) 943-7312
(231) 943-5105
Mailing address
3301 VETERANS DRIVE, SUITE124, TRAVERSE CITY, MI 49684-4564
(231) 043-7312
(231) 943-5105
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006358
MI
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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