Individual
STEPHANIE DIANE BROUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
3680 GRANDVIEW PKWY, SUITE 100, BIRMINGHAM, AL 35243-3326
(205) 777-0416
(205) 868-9625
Mailing address
3680 GRANDVIEW PKWY, SUITE 100, BIRMINGHAM, AL 35243-3326
(205) 777-0416
(205) 868-9625
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3174G
AL
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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