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1609598630
BAILEY MICHELLE BROUSSARD
ZACHARY, LA
NPI
1609598630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA 011934568)
Enumeration Date
2022-09-15
Last Update Date
2022-09-15
Business Address
BAILEY MICHELLE BROUSSARD
1215 INDEPENDENCE BLVD BLDG 6
ZACHARY, LA 70791-7390
Phone number: 225-286-1547
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Mailing Address
BAILEY MICHELLE BROUSSARD
5850 GRANITE PKWY STE 600
PLANO, TX 75024-6753
Phone number: 469-694-1754
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