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1619583036
SHERRY BROADWELL PHD LLC
GAINESVILLE, GA
NPI
1619583036
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Entity Type
Organization
Authorized Contact
LYNETTE CLARK
Credentialing Manager
770-339-7667
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2020-09-21
Last Update Date
2020-09-21
Business Address
SHERRY BROADWELL PHD LLC
517B GREEN STREET
GAINESVILLE, GA 30501
Phone number: 706-949-3131
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Mailing Address
SHERRY BROADWELL PHD LLC
PO BOX 716
CLARKESVILLE, GA 30523-0012
Phone number: 706-949-3131
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