Individual
LILLIAN GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 OHM AVE, EAU CLAIRE, WI 54701-4611
(715) 514-2555
Mailing address
1620 OHM AVE, EAU CLAIRE, WI 54701-4611
(715) 514-2555
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-310627
WI
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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