Individual
BRADEN FOSTER TEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 CALADIUM CT, LAFAYETTE, LA 70508-5361
(337) 962-0949
Mailing address
116 CALADIUM CT, LAFAYETTE, LA 70508-5361
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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