Individual
APRIL M BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
567 CASON LN, SUITE A, MURFREESBORO, TN 37128-4821
(615) 680-9822
(615) 494-1145
Mailing address
1502 AULDRIDGE DR, CHRISTIANA, TN 37037-6622
(615) 427-2997
(615) 494-1145
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5249
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I808289
MEDICARE PTAN
TN
Enumeration date
03/31/2011
Last updated
04/16/2012
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