Individual
ESTHER BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12628 HOOPER RD, BATON ROUGE, LA 70818-3500
(225) 953-8170
Mailing address
928 NAPOLEON ST, BATON ROUGE, LA 70802-6334
(225) 892-8757
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003627344
DRIVER'S LICENSE
LA
Enumeration date
04/19/2022
Last updated
04/19/2022
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