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1003299801
JEAN BROADNAX
VALLEJO, CA
NPI
1003299801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 27385)
Enumeration Date
2015-06-30
Last Update Date
2021-11-26
Business Address
Ms. JEAN BROADNAX LCSW
975 SERENO DR
VALLEJO, CA 94589-2441
Phone number: 707-651-4423
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Mailing Address
Ms. JEAN BROADNAX LCSW
975 SERENO DR
VALLEJO, CA 94589-2441
Phone number: 707-651-4423
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