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1164509642
KELLEY J. BROADAWAY
AUSTIN, TX
NPI
1164509642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 11975)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Ms. KELLEY J. BROADAWAY LPC
5225 N LAMAR BLVD
AUSTIN, TX 78751-1820
Phone number: 512-483-5811
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Mailing Address
Ms. KELLEY J. BROADAWAY LPC
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-445-7787
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