Provider Demographics
NPI:1720952682
Name:GRIFFIN, MARGARET JANE
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:JANE
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 BLACKSTONE ST
Mailing Address - Street 2:
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-7869
Mailing Address - Country:US
Mailing Address - Phone:907-244-1184
Mailing Address - Fax:
Practice Address - Street 1:123 BLACKSTONE ST
Practice Address - Street 2:
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-7869
Practice Address - Country:US
Practice Address - Phone:907-244-1184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health