Most Relevant Information
Provider Data
| NPI Number: | 1003004953 |
| Provider Name: | HEATHER GRIFFIN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/04/2007 |
| Last Updated: | 10/04/2007 |
Provider Practice Location
829 HALBERT ST
MALVERN
AR
721042607
Practice Location Phone/Fax
| Phone: | 5013324400 |
| Fax: | 5013324403 |
Provider Mailing Location
829 HALBERT ST
MALVERN
AR
721042607
Provider Mailing Phone/Fax
| Phone: | 5013324400 |
| Fax: | 5013324403 |