Individual
THEAOLECIA BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 BLAIR ST, OPELOUSAS, LA 70570-1143
(337) 879-2385
Mailing address
127 BLAIR ST, OPELOUSAS, LA 70570-1143
(337) 879-2385
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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