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Individual

NICOLE GRIFFITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
13001 23 MILE RD STE 103, SHELBY TWP, MI 48315-2767
(800) 693-1916
Mailing address
48444 LAFAYETTE DR, MACOMB, MI 48044-5643
(586) 292-4307

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014440
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6401014440
MI
Enumeration date
09/09/2014
Last updated
10/08/2018
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