| Doctor Name: | MICHAEL GRIFFITH |
| NPI Number: | 1427000991 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S.S.W., LICSW |
| License Number: | 10360 |
| Business Practice Address: | 8669 Eagle Point Blvd Lake Elmo, MN - 550428628 |
| Business Phone Number: | 6513790444 |
| Business Fax Number: | 6513790448 |
| Mailing Address: | 8669 Eagle Point Blvd, LAKE ELMO |
| State: | MN |
| Postal Code: | 550428628 |
| Phone Number: | 6513790444 |
| Fax Number: | 6513790448 |
| NPI Enumeration Date: | 05/16/2006 |
| NPI Last Update Date: | 12/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 10360 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |