Individual
DEMONICA ANN BROADWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9500 TIOGA DR STE A, SAN ANTONIO, TX 78230-3118
(210) 616-0828
(855) 616-0829
Mailing address
9500 TIOGA DR STE A, SAN ANTONIO, TX 78230-3118
(210) 616-0828
(855) 616-0829
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111868
TX
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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