Individual
HEIDI BROUSSARD GRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 DEMANADE BLVD STE 201, LAFAYETTE, LA 70503-2567
(225) 261-7143
(225) 250-1026
Mailing address
11408 LAKE SHERWOOD AVE N STE A, BATON ROUGE, LA 70816-0421
(225) 261-7143
(225) 250-1026
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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