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1790240307
SAMANTHA BRODERICK
WASHINGTON, DC
NPI
1790240307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: DC LG50082665)
Enumeration Date
2019-02-07
Last Update Date
2019-02-07
Business Address
SAMANTHA BRODERICK LGSW, LMSW
1140 3RD ST NE
WASHINGTON, DC 20002-6274
Phone number: 202-873-9071
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Mailing Address
SAMANTHA BRODERICK LGSW, LMSW
713 FORSTON ST
TAKOMA PARK, MD 20912-7332
Phone number:
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