Individual
CAROL BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15222 HIDDEN HOLLOW LN, SUGAR LAND, TX 77498-7031
(218) 794-5220
Mailing address
15222 HIDDEN HOLLOW LN, SUGAR LAND, TX 77498-7031
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
32370
TX
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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