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1225246531
SCOTT PATRICK BROUSSARD
SAN FRANCISCO, CA
NPI
1225246531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
Mr. SCOTT PATRICK BROUSSARD
2513 24TH ST
SAN FRANCISCO, CA 94110-3556
Phone number: 415-642-5968
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Mailing Address
Mr. SCOTT PATRICK BROUSSARD
917 IRVING ST #2
SAN FRANCISCO, CA 94122-2224
Phone number:
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