Individual
JENNIFER L GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3519 PATRICK ST STE 245, LAKE CHARLES, LA 70605
(337) 477-2407
Mailing address
3519 PATRICK ST STE 245, LAKE CHARLES, LA 70605-1700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/28/2018
Last updated
06/25/2018
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