Individual
KATHERINE GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 HAY ST, FAYETTEVILLE, NC 28305-5313
(910) 438-0939
Mailing address
PO BOX 1261, FAYETTEVILLE, NC 28302-1261
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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