Individual
DARRIELLE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(214) 405-2998
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(214) 405-2998
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
07/12/2023
Last updated
07/19/2023
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