Individual
SPENCER GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1051 BUCKBOARD TRL APT 1, BLACKFOOT, ID 83221-3084
(208) 389-8685
Mailing address
4737 S AFTON PL STE A, CHUBBUCK, ID 83202-2317
(208) 417-0623
(208) 417-0641
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-43554
ID
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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