Individual
LAURA ANN GRISWACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
172V00000X
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/19/2022
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