Individual
CAROLYN REED GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
8300 CONSTITUTION NE, CONSULT LIASION SERVICE, ALBUQUERQUE, NM 87112
(505) 291-2134
Mailing address
4601 BREECE RD SW, ALBUQUERQUE, NM 87105-6405
(505) 873-1270
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0455
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21700567
—
NM
Enumeration date
08/29/2007
Last updated
08/13/2013
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