Jordan P Grimm

NPI #1942964192 in Springfield, Illinois

Provider Information

NPI Number
1942964192
Entity Type
Individual
Name
Jordan P Grimm
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Oct 25, 2021
Last Updated
Aug 9, 2023

Practice Location

Address
4481 ASH GROVE DR STE B
ZIP Code
62711-6359
Phone
(309) 693-8200

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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