| Janet M Grim Ma Lmft | |
|
1726 Kingsley Ave Suite 3 Orange Park FL 32073 | |
| (904) 269-7500 | |
| (904) 269-9972 |
| Full Name | Janet M Grim Ma Lmft |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1726 Kingsley Ave, Orange Park, Florida |
| Authorized Official Name and Position | Janet Mccullough Grim (PRESIDENT) |
| Authorized Official Contact | 9042697500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janet M Grim Ma Lmft 1726 Kingsley Ave Suite 3 Orange Park FL 32073 Ph: (904) 269-7500 | Janet M Grim Ma Lmft 1726 Kingsley Ave Suite 3 Orange Park FL 32073 Ph: (904) 269-7500 |
| NPI Number | 1427353150 |
|---|---|
| Provider Enumeration Date | 01/11/2011 |
| Last Update Date | 01/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427353150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT485 (Florida) | Primary |
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