Individual
DR. GRETCHEN ANN MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, PH.D
Contact information
Practice address
81 BOLTON TRL, NORTH CHILI, NY 14514-9774
(585) 889-6429
Mailing address
81 BOLTON TRL, NORTH CHILI, NY 14514-9774
(585) 889-6429
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
072120-1
NY
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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