Individual
KATHERINE BROADWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7613 PROSPECTOR PL, RALEIGH, NC 27615-4840
(919) 870-7776
Mailing address
7613 PROSPECTOR PL, RALEIGH, NC 27615-4840
(919) 870-7776
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2141
NC
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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