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1942964192
JORDAN P GRIMM
SPRINGFIELD, IL
NPI
1942964192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178019034)
Enumeration Date
2021-10-25
Last Update Date
2023-08-09
Business Address
JORDAN P GRIMM
4481 ASH GROVE DR STE B
SPRINGFIELD, IL 62711-6359
Phone number: 309-693-8200
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Mailing Address
JORDAN P GRIMM
10703 N GLENFIELD DR
DUNLAP, IL 61525-9771
Phone number: 815-878-0334
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