DAVID RYAN GROSS

BREAUX BRIDGE, LA
NPI1871373910
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  RAC-5079)
Enumeration Date2023-10-05
Last Update Date2023-10-05
Business Address
DAVID RYAN GROSS RAC
648 LATIOLAIS DR
BREAUX BRIDGE, LA 70517-4231
Phone number: 337-332-4878
Mailing Address
DAVID RYAN GROSS RAC
124 JOMELA DR APT 9
LAFAYETTE, LA 70503-2547
Phone number:
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