Individual
AMANDA BENSON BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1602 W PINHOOK RD, LAFAYETTE, LA 70508-3735
(337) 534-0770
Mailing address
1602 W PINHOOK RD, LAFAYETTE, LA 70508-3735
(337) 534-0770
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/02/2024
Last updated
05/05/2024
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