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Individual

SANDRA GRIFFITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
1730 1ST AVE NE, CEDAR RAPIDS, IA 52402-5433
(319) 365-3993
Mailing address
PO BOX 1408, CEDAR RAPIDS, IA 52406-1408
(319) 365-3993

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00239
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104852813
IA
Enumeration date
06/24/2006
Last updated
10/05/2017
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