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Mary Lisa Grimmer
Mental Health Counselor in Fort Myers, Florida
NPI 1629708243

Mary Lisa Grimmer is a Mental Health Counselor based in Fort Myers, FL and is specialized in Mental Health. Mary Lisa Grimmer practices in Fort Myers, FL. The NPI Number for Mary Lisa Grimmer is 1629708243 and holds a License No. MH11345 (Florida).

The current practice location address for Mary Lisa Grimmer is 7235 Maida Ln Apt 5C, Fort Myers, FL and can be reached out via phone at 239-410-7559.

Location: 7235 Maida Ln Apt 5C, Fort Myers, FL, 33908-4203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629708243
Provider Name
Mary Lisa Grimmer
Credential
Provider Entity Type
Individual
Gender
Female
Address
7235 Maida Ln Apt 5C, Fort Myers, FL, 33908-4203
Phone Number
239-410-7559
Fax Number
Provider Enumeration Date
06/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7235 Maida Ln Apt 5C
City
Fort Myers
State
Florida
Zip
33908-4203
Phone Number
239-410-7559
Fax Number
person
Provider Business Mailing Address Details
Address
7235 Maida Ln Apt 5C
City
Fort Myers
State
Florida
Zip
33908-4203
Phone Number
239-410-7559
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH11345 (Florida)
Definition
Definition to come...
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