JINNY RENEE BRODERICK

FORT WAYNE, IN
NPI1558441717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34005183A)
Enumeration Date2006-10-16
Last Update Date2010-09-29
Business Address
-- JINNY RENEE BRODERICK LCSW
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
Mailing Address
-- JINNY RENEE BRODERICK LCSW
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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