Mario Alden Broussard II
Mario Alden Broussard II is a Clinical Social Worker in Laurel, Maryland. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
8101 Sandy Spring Rd Ste 224Laurel, MD 20707-3596
Phone: (240) 581-1501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1992396766 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 3, 2021 |
| Last updated in NPPES | February 3, 2021 |
| Certification date | February 3, 2021 |
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