Individual
OLETHA GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 EDGECLIFF WAY, COLUMBIA, SC 29229-9273
(803) 319-7414
Mailing address
PO BOX 290146, COLUMBIA, SC 29229-0003
(803) 319-7414
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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