Individual
MS. AIMEE KELTY BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17198 ST LUKES WAY, THE WOODLANDS, TX 77384-8011
(832) 822-2400
Mailing address
130 W MONTFAIR BLVD, THE WOODLANDS, TX 77382-2096
(832) 472-8232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
108658
TX
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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