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Individual

BRITTANY B GRIEP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1923 FARMERVILLE HWY, RUSTON, LA 71270-3007
(318) 255-9601
(318) 255-7971
Mailing address
PO BOX 1306, RUSTON, LA 71273-1306
(318) 255-9601
(318) 255-7971

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4591
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1169234
LA
01
G5096
BCBS OF LOUISIANA
LA
Enumeration date
09/30/2008
Last updated
09/30/2008
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