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1902549694
COLLEEN ELAINE BROUSSARD
METAIRIE, LA
NPI
1902549694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 8665)
Enumeration Date
2022-04-19
Last Update Date
2022-04-19
Business Address
COLLEEN ELAINE BROUSSARD CCC-SLP
761 E WILLIAM DAVID PKWY
METAIRIE, LA 70005-2115
Phone number: 337-322-6746
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Mailing Address
COLLEEN ELAINE BROUSSARD CCC-SLP
761 E WILLIAM DAVID PKWY
METAIRIE, LA 70005-2115
Phone number: 337-322-6746
Copy
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