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Individual

MISS CHANTASIA D GRASTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHS

Contact information

Practice address
3600 JACKSON ST STE 119, ALEXANDRIA, LA 71303-3096
(318) 625-7050
Mailing address
617 BAPTIST ST APT B, PINEVILLE, LA 71360-7140
(337) 487-9545

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/13/2018
Last updated
03/18/2023
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