MARC S. BROADWAY

FARMINGTON, NM
NPI1043342496
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  4455)
Enumeration Date2007-03-12
Last Update Date2007-07-08
Business Address
-- MARC S. BROADWAY B.A., SAA
2011 TROY KING RD TRLR 10
FARMINGTON, NM 87401-3123
Phone number: 505-566-0336
Mailing Address
-- MARC S. BROADWAY B.A., SAA
2011 TROY KING RD TRLR 10
FARMINGTON, NM 87401-3123
Phone number: 505-566-0336
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