| Doctor Name: | MS. DEBRA ANN BROGDEN |
| NPI Number: | 1063653665 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 4900 |
| Business Practice Address: | 3018 Old Minden Rd Suite 1111 Bossier City, LA - 711122476 |
| Business Phone Number: | 3187417482 |
| Business Fax Number: | 3187417481 |
| Mailing Address: | 3018 Old Minden Rd, Suite 1111 BOSSIER CITY |
| State: | LA |
| Postal Code: | 711122476 |
| Phone Number: | 3187417482 |
| Fax Number: | 3187417481 |
| NPI Enumeration Date: | 03/12/2009 |
| NPI Last Update Date: | 03/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 4900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |