Individual
ROBERT BROADWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
301 N SHIAWASSEE ST, BOX 129, CORUNNA, MI 48817-1439
(989) 743-1007
Mailing address
301 N SHIAWASSEE ST, BOX 129, CORUNNA, MI 48817-1439
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401003658
MI
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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