Individual
MS. JULIE BRODERICK GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW MFT MA
Contact information
Practice address
1635 CENTRAL AVENUE, SOUTHWEST CONNECTICUT MENTAL HEALTH SYSTEM, BRIDGEPORT, CT 06610
(203) 551-7660
(203) 551-7481
Mailing address
1635 CENTRAL AVENUE ROOM 214, SOUTHWEST CT MENTAL HEALTH SYSTEM, BRIDGEPORT, CT 06610
(203) 551-7660
(203) 551-7481
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004824
CT
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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