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Mary Broussard, OTR
NPI 1154892982 · on the registry since 2018
Practice
- Address
- 704 Longmire Rd Ste 101
Conroe, TX 77304 - Phone
- (985) 373-8018
- Organisation at this address
- Selous Healthcare Llc
Beyond Boundaries Therapy Center
Synergy Mediation And Counseling
Beyond Boundaries Therapy Center, Pllc
Kindercare Behavioral Health And Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
- Licence states on file
- LA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas