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1023572526
NICOLE BROUSSARD
HOUSTON, TX
NPI
1023572526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 59567)
Enumeration Date
2019-01-29
Last Update Date
2019-07-12
Business Address
NICOLE BROUSSARD LCSW
6651 MAIN ST. MC E. 1920
HOUSTON, TX 77030
Phone number: 832-824-7012
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Mailing Address
NICOLE BROUSSARD LCSW
6651 MAIN ST. MC E. 1920
HOUSTON, TX 77030
Phone number: 832-824-7012
Copy
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