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NPI Code Detail

MEDICARE: AMANDA ELIZABETH GRIFFITH

MEDICARE: AMANDA ELIZABETH GRIFFITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1326824533
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA ELIZABETH GRIFFITH
Provider Business Mailing Address
First Line : 115 W RUSSELL ST
Second Line :
City : ELKHORN CITY
State : KY
Zip : 41522-9023
Country : US
Telephone Number : 606-754-8445
Fax Number :
Provider Business Practice Location Address
First Line : 115 W RUSSELL ST
Second Line :
City : ELKHORN CITY
State : KY
Zip : 41522-9023
Country : US
Telephone Number : 606-754-8445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2023
Last Update Date : 07/31/2024

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Directions to “ AMANDA ELIZABETH GRIFFITH ” Practice Location

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