Individual
CORISSA LAURALANE GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
619 W WALNUT ST, MILWAUKEE, WI 53212-3839
(414) 277-8980
Mailing address
822A E HOMER ST, MILWAUKEE, WI 53207-1875
(262) 949-9396
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11625-123
WI
Other
Enumeration date
07/18/2022
Last updated
03/21/2024
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