| NPI | 1609305952 |
|---|---|
| Professional Name | STEPHANIE BROADNAX BROUSSARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57261) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 57261) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2022-05-27 |