Individual
CAROL PENELOPE GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMII, PRSS
Contact information
Practice address
32300 S 625 RD, GROVE, OK 74344-6285
(918) 786-2930
Mailing address
32300 S 625 RD, GROVE, OK 74344-6285
(918) 786-2930
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265198832
—
OK
Enumeration date
11/09/2021
Last updated
03/01/2023
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