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Carolyn Grayson

NPI 1467824169 · on the registry since 2015

Practice

Address
3018 Old Minden Rd Ste 1117
Bossier City, LA 71112
Phone
(318) 746-1935
Organisation at this address
Certicare,Inc.
Certicare, Inc.
Melosa Foundation
Lionel Guillaume Inc
Heather Kleckinger Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
196

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
171M00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana