DEBRA LYNN BRODERICK

LOGAN, OH
NPI1134613243
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  164844)
Enumeration Date2018-06-21
Last Update Date2018-06-21
Business Address
DEBRA LYNN BRODERICK CDCA
30663 RED ROCK CT # 1
LOGAN, OH 43138-9672
Phone number: 740-888-1377
Mailing Address
DEBRA LYNN BRODERICK CDCA
30663 RED ROCK CT # 1
LOGAN, OH 43138-9672
Phone number: 740-888-1377
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