M. CHARISSE GRANGER

LAFAYETTE, LA
NPI1942674460
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: LA  3359)
Enumeration Date2015-11-20
Last Update Date2015-11-20
Business Address
MS. M. CHARISSE GRANGER
100 POYDRAS ST
LAFAYETTE, LA 70501-4740
Phone number: 337-231-6365
Mailing Address
MS. M. CHARISSE GRANGER
100 POYDRAS ST
LAFAYETTE, LA 70501-4740
Phone number: 337-231-6365
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