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Individual

CHER BROUSSARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
30826 LINDER RD, DENHAM SPRINGS, LA 70726-8507
(225) 665-7878
Mailing address
30826 LINDER RD, DENHAM SPRINGS, LA 70726-8507
(225) 665-7878

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1548839
LA
Enumeration date
10/09/2015
Last updated
10/09/2015
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