Angela Jade Griffin

NPI #1649010810 in Chubbuck, Idaho

Provider Information

NPI Number: 1649010810
Entity Type: Individual
Name: Angela Jade Griffin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: May 27, 2024
Last Updated: May 27, 2024

Practice Location

Address: 5290 DIAMOND CIR APT 2
City: Chubbuck
State: Idaho
ZIP Code: 83202-2181
Phone: (214) 909-5240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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