Individual
MS. TERESA KATHLEEN GRIMAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HS, CPSS
Contact information
Practice address
4606 LEE ST, ALEXANDRIA, LA 71302-3235
(318) 445-1105
(318) 441-2251
Mailing address
4606 LEE ST, ALEXANDRIA, LA 71302-3235
(318) 445-1105
(318) 441-2251
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
LA
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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