HAILEY PARKER GRIMES
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1063225563- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1140 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID, 836472821
- Phone
- (208) 580-5431
Specialties & Taxonomies
Social Worker
Primary License: ID #4471546