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1497113781
IVY GRIFFIN PRIVATE PRACTICE
SACRAMENTO, CA
NPI
1497113781
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Entity Type
Organization
Authorized Contact
ARIELLE GROSSMAN
Mft Intern #90359
916-905-2214
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: CA 90359)
Enumeration Date
2016-02-02
Last Update Date
2016-02-02
Business Address
IVY GRIFFIN PRIVATE PRACTICE
1909 CAPITOL AVE STE 302
SACRAMENTO, CA 95811-4242
Phone number: 916-905-2214
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Mailing Address
IVY GRIFFIN PRIVATE PRACTICE
1909 CAPITOL AVE STE 302
SACRAMENTO, CA 95811-4242
Phone number: 916-905-2214
Copy
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