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Individual

CHASE GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
313 N MATTIS AVE STE 116, CHAMPAIGN, IL 61821-7900
(224) 232-8057
(172) 888-2744
Mailing address
505 W UNIVERSITY AVE STE 202-203, CHAMPAIGN, IL 61820-3915
(224) 232-8057
(217) 689-1666

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
150.106636
IL
1041C0700X
Clinical Social Worker
Primary
149029299
IL

Other

Enumeration date
03/04/2022
Last updated
06/04/2025
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