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Individual

MICHAEL W. GRIEFEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
193 MAIN ST, BRATTLEBORO, VT 05301-2842
(802) 451-9140
Mailing address
193 MAIN ST, BRATTLEBORO, VT 05301-2842
(802) 451-9140

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0000122
VT
1041C0700X
Clinical Social Worker
5571
CT

Other

Enumeration date
11/06/2009
Last updated
12/07/2009
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