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1467106427
KARISSA BROUSSARD
ALEXANDRIA, LA
NPI
1467106427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 13922)
Enumeration Date
2022-02-08
Last Update Date
2023-07-07
Business Address
KARISSA BROUSSARD
5501 JACKSON ST
ALEXANDRIA, LA 71303-2324
Phone number: 318-602-0113
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Mailing Address
KARISSA BROUSSARD
1410 DONAHUE FERRY RD
PINEVILLE, LA 71360-5146
Phone number: 318-450-9513
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