| Mark S Grimm, Lcsw Llc | |
|
1707 Cole Blvd Suite 250 Golden CO 80401-3220 | |
| (303) 716-8013 | |
| (303) 763-5495 |
| Full Name | Mark S Grimm, Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1707 Cole Blvd, Golden, Colorado |
| Authorized Official Name and Position | Mark Grimm (OWNER) |
| Authorized Official Contact | 3037168013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S Grimm, Lcsw Llc 1707 Cole Blvd Suite 250 Golden CO 80401-3220 Ph: (303) 716-8013 | Mark S Grimm, Lcsw Llc 1707 Cole Blvd Suite 250 Golden CO 80401-3220 Ph: (303) 716-8013 |
| NPI Number | 1912248139 |
|---|---|
| Provider Enumeration Date | 03/13/2013 |
| Last Update Date | 03/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912248139 | NPI | - | NPPES |
| 07101553 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 985017 (Colorado) | Primary |
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