Individual
MRS. SANDRA KAYE BRODERWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5112 SHAMROCK DR, HELENA, AL 35080-3390
(844) 687-5465
Mailing address
PO BOX 58, HELENA, AL 35080-0058
(844) 687-5465
(844) 687-5465
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3157
AL
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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