Organization
DINA BROUSSARD LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA BROUSSARD LCSW (OWNER)
(337) 207-1434
Entity
Organization
Contact information
Practice address
119 EDWARD DR, SUNSET, LA 70584-5429
(337) 207-1434
Mailing address
119 EDWARD DR, SUNSET, LA 70584-5429
(337) 207-1434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6039
LA
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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