Individual
JUDITH GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2580 POTTERS RD, VIRGINIA BEACH, VA 23454-4324
(757) 498-9391
(757) 498-7073
Mailing address
2580 POTTERS RD, VIRGINIA BEACH, VA 23454-4324
(757) 498-9391
(757) 498-7073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000602
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008923892
—
VA
01
—
431691
BCBS
VA
01
—
O817965
SENTARA
VA
Enumeration date
11/07/2006
Last updated
07/08/2007
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