LISA MARIE BROADHEAD

FORT CAMPBELL, KY
NPI1568617413
Former NameLISA MARIE BLANCHARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: GA  CSW003927)
Enumeration Date2008-11-19
Last Update Date2018-07-02
Business Address
LISA MARIE BROADHEAD LCSW
BLANCHFIELD ARMY COMMUNITY HOSPITAL 650 JOEL DRIVE
FORT CAMPBELL, KY 42223
Phone number: 270-798-8601
Mailing Address
LISA MARIE BROADHEAD LCSW
13173 AERO VISTA DR
EL PASO, TX 79908-3257
Phone number: 915-307-3941
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