Individual
MS. CAROL ANN BRODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED LPC
Contact information
Practice address
105 HAMBURG TURNPIKE, POMPTON LAKES, NJ 07442
(973) 831-0613
(973) 831-0957
Mailing address
21 EVANS PLACE, C/O NEW BRIDGE SERVICES INC, POMPTON PLAINS, NJ 07444
(973) 907-2700
(973) 839-4770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00337800
NJ
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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