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1265635544
LISA MAE GRIMM
TULSA, OK
NPI
1265635544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
Additional Taxonomies
1041S0200X Social Worker, School
Enumeration Date
2007-06-06
Last Update Date
2007-07-08
Business Address
-- LISA MAE GRIMM M.S.
7010 S YALE AVE STE 215
TULSA, OK 74136-5743
Phone number: 918-492-2554
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Mailing Address
-- LISA MAE GRIMM M.S.
119 S HARVARD AVE
TULSA, OK 74112-1103
Phone number: 918-636-0328
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