Individual
LOUISE AGNES GRIFFITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LP
Contact information
Practice address
14575 GRAND AVE, BURNSVILLE, MN 55306-5722
(952) 484-3100
(952) 898-4645
Mailing address
17637 KETTERING TRL, LAKEVILLE, MN 55044-9344
(952) 484-3100
(952) 898-4645
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1776
MN
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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