Individual
SUZANNE MORTARA GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-4081
Mailing address
2321 ABBEYWOOD RD, LEXINGTON, KY 40515-1258
(859) 224-4081
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY-1514
KY
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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