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1598287385
SHAMEKA N BROUSSARD
SAN ANTONIO, TX
NPI
1598287385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 52784)
Enumeration Date
2017-07-12
Last Update Date
2017-07-12
Business Address
SHAMEKA N BROUSSARD LCSW
6243 W INTERSTATE 10
SAN ANTONIO, TX 78201-2086
Phone number: 210-293-0883
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Mailing Address
SHAMEKA N BROUSSARD LCSW
14507 DEVOUT
SAN ANTONIO, TX 78247-6603
Phone number:
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