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Individual

ELIZABETH JODI GRIMALDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LLMFT, MDIV

Contact information

Practice address
233 FULTON ST E STE 28, GRAND RAPIDS, MI 49503-3262
(616) 228-9244
(616) 327-6333
Mailing address
2621 N TAMARACK DR, MIDLAND, MI 48642-7887
(989) 948-3503
(616) 327-6333

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4101006921
MI
106H00000X
Marriage & Family Therapist
Primary
4101007262
MI
106H00000X
Marriage & Family Therapist

Other

Enumeration date
03/05/2020
Last updated
06/20/2022
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