MATTHEW LANE BROUSSARD

BOSTON, MA
NPI1588435424
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-01-10
Last Update Date2024-01-10
Business Address
Mr. MATTHEW LANE BROUSSARD MS
99 TOPEKA ST
BOSTON, MA 02118-2717
Phone number: 617-442-1499
Mailing Address
Mr. MATTHEW LANE BROUSSARD MS
99 TOPEKA ST
BOSTON, MA 02118-2717
Phone number: 617-442-1499
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