DANIEL ANDREW GRIM

FAIRBORN, OH
NPI1912594854
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.172443)
Enumeration Date2020-12-27
Last Update Date2020-12-27
Business Address
Mr. DANIEL ANDREW GRIM CDCA
323 N BROAD ST
FAIRBORN, OH 45324-4934
Phone number: 937-318-8103
Mailing Address
Mr. DANIEL ANDREW GRIM CDCA
1001 E LINDEN AVE APT 48
MIAMISBURG, OH 45342-3473
Phone number: 937-607-7965
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