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Individual

MRS. BONNIE MARIE GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LMSW

Contact information

Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 496-5110
Mailing address
1456 ST LAWRENCE CT, FENTON, MI 48430-1245
(810) 853-8770

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1705233
MI
Enumeration date
04/15/2010
Last updated
10/14/2013
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