Individual
KEIDRA L KEY-GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
18357 OAKWOOD AVE, LANSING, IL 60438-2905
(708) 248-0854
(708) 474-3788
Mailing address
18357 OAKWOOD AVE, LANSING, IL 60438-2905
(708) 248-0854
(708) 474-3788
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316268440
—
IL
Enumeration date
04/16/2019
Last updated
04/16/2019
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