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1972964542
DARYN BROUSSARD
SHREVEPORT, LA
NPI
1972964542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 4156)
Enumeration Date
2016-03-10
Last Update Date
2016-03-10
Business Address
Mr. DARYN BROUSSARD LPC
2924 KNIGHT ST STE 434
SHREVEPORT, LA 71105-2413
Phone number: 318-631-1122
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Mailing Address
Mr. DARYN BROUSSARD LPC
870 POLEMAN RD
SHREVEPORT, LA 71107-3206
Phone number: 318-564-6636
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