KELLY MICHELLE BROUSSARD

HILO, HI
NPI1871050146
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-02-22
Last Update Date2022-08-11
Business Address
KELLY MICHELLE BROUSSARD MHC
190 KEAWE ST STE 33
HILO, HI 96720-2849
Phone number: 808-238-9990
Mailing Address
KELLY MICHELLE BROUSSARD MHC
PO BOX 5704
HILO, HI 96720-8704
Phone number: 808-238-9990
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