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1043038060
MICHELE LYNN GRIMM
FORT WAYNE, IN
NPI
1043038060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: IN 1079963)
Enumeration Date
2024-09-30
Last Update Date
2024-09-30
Business Address
MICHELE LYNN GRIMM
1200 S CLINTON ST
FORT WAYNE, IN 46802-3504
Phone number: 260-467-1150
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Mailing Address
MICHELE LYNN GRIMM
1200 BARR ST
FORT WAYNE, IN 46802-3502
Phone number: 260-710-1275
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