Randall Paul Broussard II

NPI #1023500071 in Sulphur, Louisiana

Provider Information

NPI Number
1023500071
Entity Type
Individual
Name
Randall Paul Broussard II
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Jun 5, 2018
Last Updated
Jun 5, 2018

Practice Location

Address
3905 MAPLEWOOD DR APT 1
ZIP Code
70663-6359
Phone
(337) 853-5442

Specialties & Taxonomy Codes

Specialty
Counselor

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