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1760602288
JAMES R BROUSSARD
NEW IBERIA, LA
NPI
1760602288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 387)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
Mr. JAMES R BROUSSARD LCSW
203 WEST MAIN STREET SUITE 101
NEW IBERIA, LA 70560
Phone number: 337-365-7575
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Mailing Address
Mr. JAMES R BROUSSARD LCSW
PO BOX 9685
NEW IBERIA, LA 70562
Phone number: 337-365-7575
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