Individual
TRACY LYNN GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5536 HWY 32, FARMINGTON, MO 63640-7357
(573) 218-4560
Mailing address
5536 HWY 32, FARMINGTON, MO 63640-7357
(573) 218-4560
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
2015001695
MO
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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