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Mark Broussard
NPI 1669839445 · on the registry since 2016 · sole proprietor
Practice
- Address
- 239 Nashville Ave
New Orleans, LA 70115 - Phone
- (435) 491-0531
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-19
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 Louisiana