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1396966453
LARRY L. GRIMM
PRESCOTT, AZ
NPI
1396966453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: AZ 1195)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Dr. LARRY L. GRIMM Ed.D.
222 S. SUMMIT AVE., STE. 1
PRESCOTT, AZ 86303-3780
Phone number: 928-443-0428
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Mailing Address
Dr. LARRY L. GRIMM Ed.D.
P.O. BOX 11255
PRESCOTT, AZ 86304-1255
Phone number: 928-443-0428
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