Individual
BRANDON BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4919 CANAL ST STE 203, NEW ORLEANS, LA 70119-5878
(504) 483-9883
Mailing address
2016 DESLONDE ST, NEW ORLEANS, LA 70117-4004
(337) 257-0801
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18754
LA
Other
Enumeration date
10/19/2024
Last updated
11/19/2024
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