Individual
DANIELLE MARIE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 SAINT LANDRY ST, LAFAYETTE, LA 70506-4630
(337) 210-5145
(337) 210-5450
Mailing address
700 SAINT LANDRY ST, LAFAYETTE, LA 70506-4630
(337) 210-5145
(337) 210-5450
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
06/11/2019
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