Individual
DEIDRA M GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
907 1/2 CROWLEY DR, JEANERETTE, LA 70544-5646
(337) 579-3410
Mailing address
907 1/2 CROWLEY DR, JEANERETTE, LA 70544-5646
(337) 579-3410
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/21/2026
Last updated
03/21/2026
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