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1447083092
MADISON BROUSSARD-EASTLAND
HUMBLE, TX
NPI
1447083092
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Former Name
MADISON BROUSSARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 85404)
Enumeration Date
2024-08-20
Last Update Date
2024-08-20
Business Address
MADISON BROUSSARD-EASTLAND LPC
5726 UPPER LAKE DR
HUMBLE, TX 77346-1905
Phone number: 346-341-8434
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Mailing Address
MADISON BROUSSARD-EASTLAND LPC
5726 UPPER LAKE DR
HUMBLE, TX 77346-1905
Phone number: 281-814-0668
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