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NPI Code Detail

MEDICARE: BRITTANY LEE GRIFFIN LSW

MEDICARE: BRITTANY LEE GRIFFIN LSW
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 Worker44SL06809300NJ

General Provider Information

NPI Number : 1356166029
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY LEE GRIFFIN LSW
Provider Business Mailing Address
First Line : 33 SICOMAC RD STE 305
Second Line :
City : NORTH HALEDON
State : NJ
Zip : 07508-2954
Country : US
Telephone Number : 973-348-6004
Fax Number :
Provider Business Practice Location Address
First Line : 33 SICOMAC RD STE 305
Second Line :
City : NORTH HALEDON
State : NJ
Zip : 07508-2954
Country : US
Telephone Number : 973-348-6004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2024
Last Update Date : 11/18/2024

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Directions to “ BRITTANY LEE GRIFFIN LSW” Practice Location

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