Individual
KAYLA DENISE GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 OVERLOOK DR, BRIDGEPORT, WV 26330-1021
(304) 641-1738
Mailing address
27 OVERLOOK DR, BRIDGEPORT, WV 26330-1021
(304) 641-1738
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
03/24/2025
Last updated
04/14/2025
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