Individual
GRANT MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 REES ST, BREAUX BRIDGE, LA 70517-4611
(337) 442-6823
(337) 442-6825
Mailing address
251 REES ST, BREAUX BRIDGE, LA 70517-4611
(337) 442-6823
(337) 442-6825
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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