Individual
MS. KRISTA MARIE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
150 SHOUP AVE, IDAHO FALLS, ID 83402-3657
(208) 716-4372
Mailing address
725 E 600 N, FIRTH, ID 83236-1205
(208) 716-4372
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW 33036
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-35402
ID
Other
Enumeration date
07/15/2013
Last updated
03/25/2016
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