Individual
KENYA GRADNIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
971 HIGHWAY 167, OPELOUSAS, LA 70570-1227
(337) 351-0718
Mailing address
971 HIGHWAY 167, OPELOUSAS, LA 70570-1227
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17193
LA
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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