Philip Brandon Broussard I, CIT
Philip Brandon Broussard I, CIT is a Case Manager/Care Coordinator in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2024
Practice location Address checks out
7330 Fern Ave Ste 1003Shreveport, LA 71105-4988
Phone: (318) 550-5490
Fax: (318) 550-5489
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X · Licence CIT-5418 (LA) |
|---|
Record details
| NPI number | 1285405159 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CIT |
| Sole proprietor | Yes |
| NPI enumerated | January 10, 2024 |
| Last updated in NPPES | January 10, 2024 |
| Certification date | January 10, 2024 |
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