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1588735260
DANA BRODERICK
TRAVERSE CITY, MI
NPI
1588735260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist Counseling
(Licence: MI 6301011307)
Enumeration Date
2006-11-13
Last Update Date
2008-04-08
Business Address
MRS. DANA BRODERICK
1050 SILVER DR
TRAVERSE CITY, MI 49684-5749
Phone number: 231-947-2255
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Mailing Address
MRS. DANA BRODERICK
1050 SILVER DR
TRAVERSE CITY, MI 49684-5749
Phone number: 231-947-2255
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