John W Grimm, LICSW
NPI #1275690158 in South Burlington, Vermont
Provider Information
- NPI Number
- 1275690158
- Entity Type
- Individual
- Name
- John W Grimm, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jan 2, 2007
- Last Updated
- May 11, 2011
Practice Location
- Address
- 1025 AIRPORT DR
- City
- South Burlington
- State
- Vermont
- ZIP Code
- 05403-6013
- Phone
- (802) 488-7711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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