Individual
TRACI GREMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
10410 PLANK RD, CLINTON, LA 70722-3710
(225) 683-5292
(225) 683-3411
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-3411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10388
LA
1041C0700X
Clinical Social Worker
105605
TX
Other
Enumeration date
10/10/2014
Last updated
10/09/2025
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