BRODERICK GRANT

WINNSBORO, LA
NPI1528414190
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-05-12
Last Update Date2018-05-25
Business Address
BRODERICK GRANT
2511 GARY ST
WINNSBORO, LA 71295-2339
Phone number: 318-439-9655
Mailing Address
BRODERICK GRANT
2411 GARY ST
WINNSBORO, LA 71295-2326
Phone number: 318-439-9655
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