Individual
MS. LAMYA BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, MSS, MLSP
Contact information
Practice address
191 PRESIDENTIAL BLVD STE W10, BALA CYNWYD, PA 19004-1205
(267) 689-7877
Mailing address
191 PRESIDENTIAL BLVD STE W10, BALA CYNWYD, PA 19004-1205
(267) 689-7877
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW138823
PA
Other
Enumeration date
03/13/2023
Last updated
03/17/2023
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