MS. Susan Deaette Griswold, LBSW, QIDP

NPI #1104286764 in Muskegon, Michigan

Provider Information

NPI Number: 1104286764
Entity Type: Individual
Name: MS. Susan Deaette Griswold, LBSW, QIDP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LBSW, QIDP
Enumeration Date: Feb 25, 2016
Last Updated: Feb 25, 2016

Practice Location

Address: 376 E APPLE AVE
City: Muskegon
State: Michigan
ZIP Code: 49442-3466
Phone: (231) 724-1331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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