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Individual
LANE KIMBERLY GRIFFITH
Active
Individual
LANE KIMBERLY GRIFFITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMHC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8114
NC
101YP2500X
Professional Counselor
8114
NC
101YS0200X
School Counselor
SP II
NC
Other
Enumeration date
01/20/2015
Last updated
09/12/2021
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