Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 14231 | MD |
NPI | 1003190083 |
---|---|
Provider Name | Mrs. Caroline Marie Griffin |
First Address | Durham, NC 27705 |
Second Address | Durham, NC 27705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2011 |
Last Update Date | 07/10/2011 |