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1497883193
KRISTINE ANN GRIMES BERTELSEN
ITHACA, NY
NPI
1497883193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 000256)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
Ms. KRISTINE ANN GRIMES BERTELSEN LMHC
415 N TIOGA ST SECOND FLOOR
ITHACA, NY 14850-4228
Phone number: 607-272-7247
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Mailing Address
Ms. KRISTINE ANN GRIMES BERTELSEN LMHC
1846 TRUMANSBURG RD. P.O. BOX 157
JACKSONVILLE, NY 14854-0157
Phone number: 607-387-5828
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