Individual
MRS. CLARICE BEATRICE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3809 SWAN RIDGE DR, ANTIOCH, TN 37013-2095
(434) 251-9751
Mailing address
3809 SWAN RIDGE DR, ANTIOCH, TN 37013-2095
(434) 251-9751
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3397960
—
TN
Enumeration date
08/31/2016
Last updated
08/31/2016
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