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Individual

MS. KRISTIE LYNETTE GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LISW CP

Contact information

Practice address
420 POLIFKA DR BLDG 1042, SHAW AFB, SC 29152-5100
(704) 564-6561
Mailing address
420 POLIFKA DR BLDG 1042, SHAW AFB, SC 29152-5100
(704) 564-6561

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17429
SC
1041C0700X
Clinical Social Worker
65612
TX
1041C0700X
Clinical Social Worker
CSW008950
GA

Other

Enumeration date
09/05/2018
Last updated
12/09/2024
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