Individual
STACY GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2213 2ND ST, CORALVILLE, IA 52241-1205
(319) 688-3333
Mailing address
2213 2ND ST, CORALVILLE, IA 52241-1205
(563) 383-1900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074526
—
IA
Enumeration date
08/13/2015
Last updated
04/11/2024
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