Broderick Grant
Broderick Grant is a Case Manager/Care Coordinator in Winnsboro, Louisiana. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
2511 Gary StWinnsboro, LA 71295-2339
Phone: (318) 439-9655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1528414190 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 12, 2016 |
| Last updated in NPPES | May 25, 2018 |
| Mailing address | 2411 Gary St, Winnsboro, LA 71295-2326 |
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