Individual
ANGELICA MARIE GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12500 SHADOWGLEN TRACE 3204, MANOR, TX 78653
(210) 371-9398
Mailing address
12500 SHADOWGLEN TRACE 3204, MANOR, TX 78653
(210) 371-9398
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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