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1134613243
DEBRA LYNN BRODERICK
LOGAN, OH
NPI
1134613243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 164844)
Enumeration Date
2018-06-21
Last Update Date
2018-06-21
Business Address
DEBRA LYNN BRODERICK CDCA
30663 RED ROCK CT # 1
LOGAN, OH 43138-9672
Phone number: 740-888-1377
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Mailing Address
DEBRA LYNN BRODERICK CDCA
30663 RED ROCK CT # 1
LOGAN, OH 43138-9672
Phone number: 740-888-1377
Copy
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