Individual
MR. ALEX E BROADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDPT
Contact information
Practice address
17300 SE 392ND STREET, AUBURN, WA 98092
(253) 804-8752
Mailing address
17300 SE 392ND, AUBURN, WA 98092
(253) 804-8752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60140114
WA
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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