Individual
DONNA M GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1600 N. OAKLAND, BOLIVAR, MO 65613-2243
(417) 326-6000
Mailing address
1600 N. OAKLAND, BOLIVAR, MO 65613-2243
(417) 326-6000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2005033651
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005033651
LCSW LICENSE
MO
Enumeration date
05/08/2007
Last updated
09/22/2015
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