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1336861178
SHANNA LASHAWN BROUSSARD
ROSHARON, TX
NPI
1336861178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225C00000X Rehabilitation Counselor
(Licence: OK 51993)
Enumeration Date
2022-09-19
Last Update Date
2022-09-19
Business Address
Dr. SHANNA LASHAWN BROUSSARD CRC
14212 SPRING KNOLL LN
ROSHARON, TX 77583-2167
Phone number: 832-266-6896
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Mailing Address
Dr. SHANNA LASHAWN BROUSSARD CRC
14212 SPRING KNOLL LN
ROSHARON, TX 77583-2167
Phone number: 832-266-6896
Copy