Individual
AMANDA PERCLE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
102 JEANNE PICARD DR, MAURICE, LA 70555-3780
(225) 776-6481
Mailing address
102 JEANNE PICARD DR, MAURICE, LA 70555-3780
(225) 776-6481
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12320
LA
Other
Enumeration date
12/29/2020
Last updated
03/06/2024
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