LOUIS BROUSSEAU

FLAGSTAFF, AZ
NPI1194735159
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AZ  2588)
Enumeration Date2006-08-09
Last Update Date2007-07-08
Business Address
-- LOUIS BROUSSEAU MA
2187 N VICKEY ST
FLAGSTAFF, AZ 86004-6106
Phone number: 928-714-6401
Mailing Address
-- LOUIS BROUSSEAU MA
2187 N VICKEY ST
FLAGSTAFF, AZ 86004-6106
Phone number: 928-714-6401
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