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1740003730
MIKAELA GRIMM
NEWPORT BEACH, CA
NPI
1740003730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CA 137899)
Enumeration Date
2024-11-06
Last Update Date
2024-11-06
Business Address
MIKAELA GRIMM
3 CORPORATE PLAZA DR STE 102
NEWPORT BEACH, CA 92660-7954
Phone number: 949-307-4560
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Mailing Address
MIKAELA GRIMM
29242 COUNTRY HILLS RD
SAN JUAN CAPISTRANO, CA 92675-1029
Phone number:
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