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1790050045
MARY PATRICIA BROCKMAN
NEW ORLEANS, LA
NPI
1790050045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: LA 574)
Enumeration Date
2012-03-20
Last Update Date
2012-03-20
Business Address
-- MARY PATRICIA BROCKMAN Ph.D.
644 N CARROLLTON AVE
NEW ORLEANS, LA 70119-4707
Phone number: 504-269-6006
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Mailing Address
-- MARY PATRICIA BROCKMAN Ph.D.
644 N CARROLLTON AVE
NEW ORLEANS, LA 70119-4707
Phone number: 504-269-6006
Copy
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