Individual
CHARLA GRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
315 LENNI ST, KUTZTOWN, PA 19530-1707
(484) 802-7968
Mailing address
315 LENNI ST, KUTZTOWN, PA 19530-1707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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