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Individual

AURILIA GRAY-GRIMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
2551 NW 103RD AVE APT 109, SUNRISE, FL 33322-6805
(754) 249-6359
Mailing address
2551 NW 103RD AVE APT 109, SUNRISE, FL 33322-6805
(754) 249-6359

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH17344
FL
101YM0800X
Mental Health Counselor
Primary
MH18368
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770047797
FL
Enumeration date
01/23/2019
Last updated
10/05/2022
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