Individual
JEFFERY BROADBENT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
822 WOODWAY ST, BOWLING GREEN, KY 42101-2771
(270) 901-5000
Mailing address
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103-7956
(270) 901-5000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258726
KY
Other
Enumeration date
02/27/2019
Last updated
02/19/2024
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