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1992163406
KELLY GRIMSLEY
MEDFORD, OR
NPI
1992163406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: professionallicense)
Enumeration Date
2016-01-29
Last Update Date
2022-03-31
Business Address
KELLY GRIMSLEY
3200 JUANIPERO WAY
MEDFORD, OR 97504-8580
Phone number: 541-816-4131
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Mailing Address
KELLY GRIMSLEY
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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