Daniel Broussard
NPI #1053726554 in Loma Linda, California
Provider Information
- NPI Number
- 1053726554
- Entity Type
- Individual
- Name
- Daniel Broussard
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jun 24, 2014
- Last Updated
- Apr 4, 2025
Practice Location
- Address
- 11201 BENTON ST RM 1B-126
- City
- Loma Linda
- State
- California
- ZIP Code
- 92357-9508
- Phone
- (909) 825-7084
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Social Worker - Clinical — Clinical |
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