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Individual

BENITA CECEILIA GRIFFIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP.D., CCC-SLP

Contact information

Practice address
6431 ROSALIE LN, RIVERDALE, MD 20737-1788
(443) 802-8869
(301) 577-6941
Mailing address
6431 ROSALIE LN, RIVERDALE, MD 20737-1788
(443) 802-8869
(301) 577-6941

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03948
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
890463-01
CAREFIRST BCBS
MP
01
890463-02
CAREFIRST BCBS
MD
01
J175-0033
CAREFIRST BCBS
DC
Enumeration date
12/07/2007
Last updated
12/10/2010
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