CLARA SUSANNE BRODERICK

PROVO, UT
NPI1720199540
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: UT  5337611 3503)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- CLARA SUSANNE BRODERICK SSW
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
Mailing Address
-- CLARA SUSANNE BRODERICK SSW
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
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