STEPHANIE BROADNAX BROUSSARD Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149029095

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

BROADNAX

Last Name

BROUSSARD

Business Name

STEPHANIE BROADNAX BROUSSARD

Original Issue Date

03/25/2025

Effective Date

11/21/2025

Expiration Date

11/30/2027

City

GRAND PRAIRIE

State

Zip

75054

Specialty/Qualifier

Doctorate Degree

Ever Disciplined

LastModifiedDate

11/21/2025