Individual
MRS. DANA BRODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 SILVER DR, TRAVERSE CITY, MI 49684-5749
(231) 947-2255
Mailing address
1050 SILVER DR, TRAVERSE CITY, MI 49684-5749
(231) 947-2255
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301011307
MI
Other
Enumeration date
11/13/2006
Last updated
04/08/2008
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