Provider Information for 1962992016
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Mrs. LINDA GRIFFIN MSw
Sex: Female
NPI: 1962992016
Last Updated: 2021-03-30
Certification Date: 2021-03-30
Certification Date: 2021-03-30
Details
Name | Value | ||||||||||||
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NPI | 1962992016 | ||||||||||||
Enumeration Date | 2018-05-15 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 1867 N CRYSTAL LAKE DR LAKELAND, FL 33801-5955 United States Phone: 638-450-3626 | Fax: | ||||||||||||
Primary Practice Address | 1867 N CRYSTAL LAKE DR LAKELAND, FL 33801-5955 United States Phone: 638-450-3626 | Fax: | ||||||||||||
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