1851500946

Everything you always wanted to know about TEPPER GRIFFITH JEANETTA LCSW 1 GRIFFITH REBECCA JEANETTA MSW; ACSW but were afraid to ask.

TEPPER GRIFFITH JEANETTA LCSW 1 GRIFFITH REBECCA JEANETTA MSW; ACSW

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Provider Last Name Provider Middle Name Provider First Name Provider Credential Provider Other Name Type Code Provider Other Last Name Provider Other Middle Name Provider Other First Name Provider Other Credential
TEPPER GRIFFITH JEANETTA LCSW 1 GRIFFITH REBECCA JEANETTA MSW; ACSW
Gender:
Female
Enumeration date:
2007-05-22
Last update date:
2008-09-25
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
1041C0700X Clinical IN 34000373A N

Phone Numbers

Type Number
Practice Location Address Fax Number 2395667355
Mailing Address Fax Number 2395948762
Mailing Address Telephone Number 2394051314
Practice Location Address Telephone Number 2394051314

Addresses

Type Address City State Postal Country
Mailing Address 26420 LUCKY STONE ROAD BONITA SPRINGS FL 34135 FL
Practice Location Address 1750 SW HEALTH PKWY UNIT #102 NAPLES FL 34109 FL

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