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1336644582
JENNY LEE BROADDUS
BEAUMONT, TX
NPI
1336644582
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Former Name
JENNY LEE FULLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 58968)
Enumeration Date
2018-03-29
Last Update Date
2018-03-29
Business Address
Mrs. JENNY LEE BROADDUS LPC-S
8150 N. MAJOR DR.
BEAUMONT, TX 77706
Phone number: 409-898-0702
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Mailing Address
Mrs. JENNY LEE BROADDUS LPC-S
3160 BROWNSTONE PL
BEAUMONT, TX 77706-7449
Phone number: 409-504-2545
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