Individual
DR. SHANNA LASHAWN BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
14212 SPRING KNOLL LN, ROSHARON, TX 77583-2167
(832) 266-6896
Mailing address
14212 SPRING KNOLL LN, ROSHARON, TX 77583-2167
(832) 266-6896
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
51993
OK
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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