Individual
DESTINY MICHELLE BRASSEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 TALLOWOOD CIR, LAFAYETTE, LA 70508-9770
(337) 446-5047
Mailing address
105 TALLOWOOD CIR, LAFAYETTE, LA 70508-9770
(337) 446-5047
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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