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1053952903
RYAN MICHAEL BROUGHTON
JACKSON, MI
NPI
1053952903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801101747)
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
RYAN MICHAEL BROUGHTON LLMSW
1200 N WEST AVE
JACKSON, MI 49202-2179
Phone number: 517-789-1200
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Mailing Address
RYAN MICHAEL BROUGHTON LLMSW
540 N PLEASANT ST
JACKSON, MI 49202-3624
Phone number:
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