Individual
BRANDON CREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 CLARK AVE, GRAMBLING, LA 71245-3201
(318) 245-5515
Mailing address
113 CLARK AVE, GRAMBLING, LA 71245-3201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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