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Individual

MR. DENNIS GRIFFIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
4428 STAFFORDSHIRE LN, CHARLOTTE, NC 28213-4238
(612) 859-7108
Mailing address
4428 STAFFORDSHIRE LN, CHARLOTTE, NC 28213-4238
(612) 859-7108

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-22784-R
NC
106H00000X
Marriage & Family Therapist
MN

Other

Enumeration date
04/25/2016
Last updated
09/02/2016
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