Individual
ERIN SHAWNNA GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
317 DEWITT ST, PORTAGE, WI 53901-2155
(608) 745-1751
(608) 745-1757
Mailing address
317 DEWITT ST, PORTAGE, WI 53901-2155
(608) 745-1751
(608) 745-1757
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
341-228
WI
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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