Individual
DANNER JUNG BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 WESTMARK BLVD, LAFAYETTE, LA 70506-7345
(337) 233-7250
Mailing address
8317 RIVER RD, ABBEVILLE, LA 70510-2248
(337) 652-7995
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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