PHILIP BRANDON BROUSSARD

SHREVEPORT, LA
NPI1285405159
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: LA  CIT-5418)
Enumeration Date2024-01-10
Last Update Date2024-01-10
Business Address
PHILIP BRANDON BROUSSARD CIT
7330 FERN AVE STE 1003
SHREVEPORT, LA 71105-4988
Phone number: 318-550-5490
Mailing Address
PHILIP BRANDON BROUSSARD CIT
7330 FERN AVE STE 1003
SHREVEPORT, LA 71105-4988
Phone number: 318-550-5490
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