Individual
MR. RANDALL GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8550 UNITED PLAZA BLVD, SUITE 702, BATON ROUGE, LA 70809-2256
(855) 482-6237
(763) 717-8705
Mailing address
2 CARLSON PKWY N STE 401, PLYMOUTH, MN 55447-4469
(855) 482-6237
(763) 717-8705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1710
LA
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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