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1073239505
ALISHA GRIMM
MASSAPEQUA, NY
NPI
1073239505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YS0200X Counselor, School
Enumeration Date
2022-10-17
Last Update Date
2024-05-29
Business Address
ALISHA GRIMM
238 W END AVE
MASSAPEQUA, NY 11758-6413
Phone number: 516-506-8854
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Mailing Address
ALISHA GRIMM
238 W END AVE
MASSAPEQUA, NY 11758-6413
Phone number: 516-506-8854
Copy
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