Individual
MR. DANIEL ANDREW GRIM II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
323 N BROAD ST, FAIRBORN, OH 45324-4934
(937) 318-8103
Mailing address
1001 E LINDEN AVE APT 48, MIAMISBURG, OH 45342-3473
(937) 607-7965
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.172443
OH
Other
Enumeration date
12/27/2020
Last updated
12/27/2020
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