Individual
MRS. RACHEL LACY BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 LA RUE FRANCE STE 102, LAFAYETTE, LA 70508-3104
(337) 781-4389
(855) 299-0797
Mailing address
200 LA RUE FRANCE STE 102, LAFAYETTE, LA 70508-3104
(337) 781-4389
(855) 299-0797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8721
LA
Other
Enumeration date
10/13/2018
Last updated
05/09/2019
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