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Organization
GRIFFIN THERAPY, PLLC
Active
Organization
GRIFFIN THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY GRIFFIN LCSW (FOUNDING MEMBER)
(919) 909-2279
Entity
Organization
Contact information
Practice address
2501 CHATHAM RD STE 8056, SPRINGFIELD, IL 62704-4188
(919) 909-2279
Mailing address
2501 CHATHAM RD STE 8056, SPRINGFIELD, IL 62704-4188
(919) 909-2279
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619569605
—
IL
Enumeration date
10/02/2024
Last updated
01/07/2025
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