Individual
SUSAN BUTLER BROCATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., L.P.C.
Contact information
Practice address
20175 LONG LAKE DR, HAMMOND, LA 70403-0555
(985) 507-9872
(985) 345-8297
Mailing address
20175 LONG LAKE DR, HAMMOND, LA 70403-0555
(985) 507-9872
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2175
LA
Other
Enumeration date
05/22/2009
Last updated
07/21/2022
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