Individual
BREANNA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
775 S BONNER ST, RUSTON, LA 71270-5801
(318) 254-7050
(318) 254-7053
Mailing address
775 S BONNER ST, RUSTON, LA 71270-5801
(318) 254-7050
(318) 254-7053
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
12/05/2019
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