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Individual

STACY GRIFFIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1631 E. 2ND STREET, AUSTIN, TX 78702
(512) 472-4357
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
61573
TX

Other

Enumeration date
11/03/2015
Last updated
11/03/2015
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