Individual
NICOLE GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
737 DUNN RD, HAZELWOOD, MO 63042-1740
(314) 699-4746
Mailing address
13135 NORTHVIEW HEIGHTS CT, BLACK JACK, MO 63033-4565
(314) 283-3517
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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