Individual
MR. CORNELIUS CLAYBORNE GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
920 DANNON VW SW, SUITE 3104, ATLANTA, GA 30331-2157
(404) 840-0640
Mailing address
2654 ARROWOOD DR, EAST POINT, GA 30344-3810
(404) 840-0640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004068
GA
Other
Enumeration date
08/02/2011
Last updated
01/29/2021
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