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1992396766
MARIO ALDEN BROUSSARD
LAUREL, MD
NPI
1992396766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-02-03
Last Update Date
2021-02-03
Business Address
MARIO ALDEN BROUSSARD
8101 SANDY SPRING RD STE 224
LAUREL, MD 20707-3596
Phone number: 240-581-1501
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Mailing Address
MARIO ALDEN BROUSSARD
8101 SANDY SPRING RD STE 224
LAUREL, MD 20707-3596
Phone number: 240-760-8533
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