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1588435424
MATTHEW LANE BROUSSARD
BOSTON, MA
NPI
1588435424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-01-10
Last Update Date
2024-01-10
Business Address
Mr. MATTHEW LANE BROUSSARD MS
99 TOPEKA ST
BOSTON, MA 02118-2717
Phone number: 617-442-1499
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Mailing Address
Mr. MATTHEW LANE BROUSSARD MS
99 TOPEKA ST
BOSTON, MA 02118-2717
Phone number: 617-442-1499
Copy
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