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General NPI Number Information
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NPI Number | 1689086225
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Entity Type | Individual
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Provider Name | MICHELE TAMSEN GRIFFITH LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/02/2014
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 260 LOOKOUT PL STE 101
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City | MAITLAND
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State | FL
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Zip | 32751-4485
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Country | US
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Telephone | 833-769-3524
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Fax |
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Provider Business Mailing Address
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Address Line | 509 N CEDAR ST
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City | MARION
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State | KS
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Zip | 66861-1367
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Country | US
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Telephone | 620-344-0472
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-6303T
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5030
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW22987
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License Number State | FL
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