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1316512239
EVAN J BROUSSARD
LAFAYETTE, LA
NPI
1316512239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA PLC8587)
Enumeration Date
2021-05-24
Last Update Date
2021-05-26
Business Address
EVAN J BROUSSARD MS, PLPC
850 KALISTE SALOOM RD STE 219
LAFAYETTE, LA 70508-4230
Phone number: 337-504-4974
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Mailing Address
EVAN J BROUSSARD MS, PLPC
7323 CEMETARY HWY
SAINT MARTINVILLE, LA 70582-7903
Phone number: 337-380-9989
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