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1477010395
TRACY ANN BRODERICK
NEWHALL, CA
NPI
1477010395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-02-27
Last Update Date
2019-02-27
Business Address
TRACY ANN BRODERICK
24460 LYONS AVE
NEWHALL, CA 91321-2347
Phone number: 661-253-9400
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Mailing Address
TRACY ANN BRODERICK
24460 LYONS AVE
NEWHALL, CA 91321-2347
Phone number: 661-253-9400
Copy
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