Individual
ASHLEY MARIE BROADIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1 PARKLANE BLVD STE 1200E, DEARBORN, MI 48126-4244
(800) 693-1916
Mailing address
2125 8TH ST APT 101, DETROIT, MI 48216-1391
(563) 940-4197
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801115779
MI
Other
Enumeration date
04/05/2023
Last updated
04/11/2023
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