Individual
MR. JOHNNIE KEITH GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 587-4534
Mailing address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6248
OK
Other
Enumeration date
02/15/2010
Last updated
09/14/2020
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