STEPHANIE BROUSSARD

PORTLAND, OR
NPI1356124457
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2023-08-14
Last Update Date2024-07-05
Business Address
STEPHANIE BROUSSARD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 210-500-1222
Mailing Address
STEPHANIE BROUSSARD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 210-500-1222
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