Individual
JESSICA T GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
401 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081-1094
(856) 210-2777
(609) 228-0678
Mailing address
401 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081-1094
(856) 210-2777
(609) 228-0678
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00695600
NJ
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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