Individual
JACQUELINE M GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1615 MAPLE LN, ASHLAND, WI 54806-3689
(715) 685-5373
(715) 682-0171
Mailing address
1615 MAPLE LN, ASHLAND, WI 54806-3689
(715) 685-5373
(715) 682-0171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12635-123
WI
Other
Enumeration date
08/18/2020
Last updated
11/12/2025
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