Individual
MR. WILLARD HENRY GRIFFIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW-CC
Contact information
Practice address
470 FOREST AVE, SUITE 202, PORTLAND, ME 04101-2009
(207) 774-3570
Mailing address
30 SHORE RD, LYMAN, ME 04002-6957
(207) 251-0488
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC12584
ME
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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