Individual
ASHLEY MICHELLE BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
27702 CROWN VALLEY PKWY., D-4 #403, LADERA RANCH, CA 92694
(949) 637-3362
Mailing address
27702 CROWN VALLEY PKWY., D-4 #403, LADERA RANCH, CA 92694
(949) 637-3362
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
112720
CA
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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