Individual
KATHLEEN GRIMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5644 WADE PARK BLVD, RALEIGH, NC 27607-6022
(919) 706-0124
Mailing address
5644 WADE PARK BLVD, RALEIGH, NC 27607-6022
(919) 706-0124
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10890
NC
Other
Enumeration date
08/06/2014
Last updated
12/30/2021
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