Individual
AUSTIN GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 W 3RD ST, DERIDDER, LA 70634-4026
(337) 463-5551
Mailing address
202 W 3RD ST, DERIDDER, LA 70634-4026
(337) 463-5551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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