Individual
MR. BRODERICK WEBSTER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
793 TENNESSEE ST, BOLIVAR, TN 38008-2441
(731) 228-9068
(901) 425-9773
Mailing address
844 SHERIDAN ST, MEMPHIS, TN 38107-4611
(901) 620-7289
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
07/09/2024
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