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Search › Ohio › 104100000X

Angela Broussard, LSW

NPI 1992201172 · on the registry since 2018

Practice

Address
3095 Kettering Blvd Fl 4
Moraine, OH 45439
Phone
(937) 293-8300
Fax
(937) 913-1913
Organisation at this address
South Community
South Community Inc
South Community Inc
South Community Inc.
Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
540

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-04-28

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 Ohio