Individual
MR. JAMES R BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
203 WEST MAIN STREET, SUITE 101, NEW IBERIA, LA 70560
(337) 365-7575
(337) 365-7878
Mailing address
PO BOX 9685, NEW IBERIA, LA 70562
(337) 365-7575
(337) 365-7878
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
387
LA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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