DUANE BRODERICK

BURLEY, ID
NPI1285921643
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LMSW3064)
Enumeration Date2011-07-06
Last Update Date2011-07-06
Business Address
-- DUANE BRODERICK
2311 PARKE AVE., STE. 8
BURLEY, ID 83350
Phone number: 208-878-3350
Mailing Address
-- DUANE BRODERICK
2311 PARKE AVE., STE. 8
BURLEY, ID 83350
Phone number: 208-878-3350
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