Individual
ALI MICHELLE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32871 LA HIGHWAY 16, DENHAM SPRINGS, LA 70706-0960
(225) 308-6348
Mailing address
32871 LA HIGHWAY 16, DENHAM SPRINGS, LA 70706-0960
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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