MALCOLM L BROADNAX

ELKRIDGE, MD
NPI1457193278
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MD  LGP14898)
Enumeration Date2024-06-11
Last Update Date2024-06-11
Business Address
MALCOLM L BROADNAX
6170 HUNT CLUB RD
ELKRIDGE, MD 21075-0003
Phone number: 443-820-3234
Mailing Address
MALCOLM L BROADNAX
2710 PELHAM AVE
BALTIMORE, MD 21213-1119
Phone number: 443-528-0822
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