Individual
DEBORAH DAWN GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 PENDERLEA HWY, BURGAW, NC 28425-4546
(910) 259-2187
Mailing address
925 PENDERLEA HWY, BURGAW, NC 28425-4546
(910) 259-2187
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22030000924
NC
235Z00000X
Speech-Language Pathologist
Primary
22030000924
VA
Other
Enumeration date
09/14/2023
Last updated
04/07/2026
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